Seizures. Evaluation is limited by motion artifact, lack of intravenous contrast and early termination of the study due to patient intolerance. There is no evidence of acute intracranial hemorrhage, mass effect, or acute infarct. There is encephalomalacia involving the left anterior inferior frontal lobe and left anterior temporal lobe. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific, but most consistent with moderate chronic small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. Incidentally noted is a partially empty sella.
1.No obvious lesion to correlate with CT findings. Motion artifact and lack of intravenous contrast limits evaluation. Additionally, the patient was unable to tolerate completion of the study.2.No evidence of acute intracranial hemorrhage, mass effect, or acute infarct.3.Encephalomalacia involving the left anterior inferior frontal lobe and left anterior temporal lobe, likely related to chronic infarcts.4.Moderate chronic white matter small vessel ischemic changes. 