Reason: sz History: sz The CSF spaces are appropriate for the patient's stated age with no midline shift. There is encephalomalacia present along the left inferior parietal lobule and posterior left temporal lobe. Smaller foci in T2 and flair signal hyperintensity are present along the cortex of the left middle frontal gyrus, left centrum semiovale and the left superior parietal lobule.No abnormal enhancing mass lesions are appreciated intracranially.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Foci of encephalomalacia involving left parietal and temporal lobe and small portions of left frontal lobe are suggestive of prior ischemic infarction.