Abnormal movements: involuntary muscle spasms and convulsions diagnosed with PANDAS and Sydenham chorea. There is extensive inhomogeneity artifact that obscures and distorts the anterior portions of the head to variable degrees depending upon the particular sequence. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma, including the basal ganglia, appears unremarkable. There is no abnormal intracranial enhancement. The lateral ventricles are perhaps on the larger end of the normal spectrum, but the sulci are not enlarged. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial tumor.