Absence seizure and memory difficulties. There is a punctate focus of susceptibility effect and enhancement in the right superior frontal sulcus. There is no evidence of intracranial hemorrhage or acute infarct. There are mild nonspecific punctate foci of T2 hyperintensity in the cerebral white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable. There is scattered paranasal sinus mucosal thickening. There is an enhancing T2 hyperintense lesion in the left parietal skull that measures up to 15 mm in width.
1. A nonspecific punctate focus of susceptibility effect and enhancement in the right superior frontal sulcus may be neoplastic or vascular in nature. 2. Mild nonspecific punctate foci of T2 hyperintensity in the cerebral white matter. 3. A lesion in the left parietal skull may be neoplastic or vascular in nature. 4. The hippocampi are unremarkable.