20 year old female with perinatal stroke, right hemiparesis, and intractable localization related epilepsy: seizures. There is encephalomalacia and gliosis in the left inferior frontal lobe, insula, and portions of the basal ganglia, with evidence of Wallerian degeneration. There is associated ex vacuo dilatation of the left lateral ventricle. There is no evidence of acute infarct. There is no abnormal intracranial enhancement. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are secretions and mucosal thickening throughout the left maxillary sinus and adjacent anterior ethmoid air cells.
1. Findings related to remote infarction of the left inferior frontal lobe, insula, and portions of the basal ganglia.2. Chronic left-sided sinusitis.