 There is no evidence of intracranial hemorrhage or acute infarct. There are multiple unchanged subcentimeter minimally enhancing subependymal nodules lining the lateral ventricles. There are multiple unchanged cortical and subcortical nonenhancing T2 hyperintense lesions bilaterally. 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 skull and paranasal sinuses are unremarkable. There is a mildly enhancing cutaneous lesion overlying the right forehead that is minimally increased in thickness, currently measuring up to 10 mm, previously 7 mm, but unchanged in length, measuring 37 mm.
Intracranial stigmata stigmata of tuberous sclerosis are unchanged, including subependymal nodules and cortical/subcortical tubers.The forehead cutaneous lesion has minimally increased in thickness.