Unspecified convulsions [R56.9], Reason for Study: ^Reason: SEIZURE ETIOLOGY History: SEIZURE No evidence of acute ischemic or hemorrhagic lesion on the scan.Multiple scattered bihemispheric periventricular white matter FLAIR/T2 high signal intensity lesions are seen, indicating nonspecific small vessel ischemic disease.Slitlike linear tissue defect on the left posterior thalamus, representing chronic infarct with encephalomalacia (series 501, image 17).The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. The paranasal sinuses are clear. Opacification are seen on the right mastoid air cells.
No evidence of acute ischemic or hemorrhagic lesion.Nonspecific small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.