 There are multiple nonspecific foci of T2/FLAIR hyperintensities in the subcortical and periventricular white matter, in the pons, and in the medulla, most likely representing chronic small vessel ischemic changes. These findings are unchanged since the previous study.There are no diffusion or susceptibility abnormalities. The ventricular size is normal. There is no midline shift. Vascular flow voids are unremarkable. The previously demonstrated well demarcated subcortical hyperintensity in the left anterior frontal lobe is unchanged and could represent a small focus of nonspecific CSF filled cyst. The vascular flow voids are unremarkable. The calvarium is unremarkable.
1. No evidence of any finding that may account for cause of patient's seizure.2. Multiple nonspecific foci of subcortical and periventricular FLAIR and T2 hyperintensities, most likely representing small vessel ischemic changes.