Other convulsions [780.39], Reason for Study: ^Reason: concern for PRESS History: new onset seizure There are patch high signal intensities on bilateral parietal lobe including increased signal intensities on the sulci especially right intraparietal sulci and bilateral occipital lobes indicate possibility of PRES.There is a focal round susceptibility artifacts on the right occipital lobe which shows high signal intensity on FLAIR images indicate possible focal hemorrhagic lesion.There is a susceptibility artifacts on the right intraparietal sulcus on gradient echo images, which corresponds to high signal intensity on FLAIR imaging. This finding indicate possible high protein content leakage toward subarachnoid space which again consistent with PRES.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Multifocal bihemispheric especially bilateral parietal and occipital lobe high signal intensity lesions with high protein content material which is compatible with the diagnosis of PRES as described above.2. Focal hemorrhagic foci on the right occipital lobe as described above.