Unspecified convulsions [R56.9], Reason for Study: ^Reason: r/o focal lesion History: focal seizure with right arm shaking Multifocal scattered restricted diffusion areas on bilateral hemispheres including right frontal lobe, right parietal lobe, right temporal lobe, posterior aspect the right insular cortex, and left parietal lobe. In particular, the right frontal lobe superior frontal gyrus and pre-central gyrus as well as cortex of the right post-central gyrus show susceptibility effects indicate hemorrhagic transformation.Cortical and subcortical gyriform and somewhat nodular enhancement of ischemic lesions demonstrate luxury perfusion.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.
Multifocal bi-hemispheric acute ischemic infarctions with hemorrhagic transformation as described above.No abnormal enhancing mass lesion was found.