Other cerebral palsy [G80.8] / Unspecified convulsions [R56.9], Reason for Study: ^Reason: eval brain structure interval changes History: focal epilepsy No evidence of acute ischemic or hemorrhagic lesion.There is encephalomalacia on the left parietal lobe as well as posterior aspect of the precentral gyrus with internal susceptibility artifacts indicating prior ischemic infarct with hemorrhagic transformation.The left lateral ventricle shows ex vacuo changes.Left posterior aspect of the thalamus shows gliotic changes with focal lacunar infarct.There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.
1. Left mainly parietal and part of frontal lobe, left MCA territory encephalomalacia with internal susceptibility artifacts indicating chronic ischemic infarction with hemorrhagic transformation.2. No evidence of acute ischemic or hemorrhagic lesion.3. Focal gliotic changes and lacunar infarct on the left thalamus.