6-year-old male with tuberous sclerosis and seizure. Increasing frequency of seizures status post fall. Multiple densely calcified lesions in the subependymal bilateral ventricular system is noted. Additional similar findings within the parenchyma is also present. Multiple less calcific lesion and some with low density there is 30 are also believed to represent hamartomas of tuberous sclerosis. Further evaluation with a dedicated postinfusion MRI exam is recommended. No evidence of hemorrhage is identified and no evidence of any mass effect or midline shift. The cortical sulci and ventricular system remain within normal range. Calvarium is unremarkable.
Extensive findings of tuberous sclerosis however no evidence of hydrocephalus or hemorrhage. Further evaluation with an infused MRI of brain is recommended.