Unspecified convulsions [R56.9], Reason for Study: ^Reason: assess for seizure focus History: complex partial seizures with secondary generalization No evidence of acute ischemic or hemorrhagic lesion.Scattered multifocal T2/FLAIR high signal intensity lesions on bilateral periventricular white matter indicating nonspecific small vessel ischemic disease, unchanged.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, restricted diffusion/acute ischemia, or abnormal contrast enhancement. 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.
Nonspecific small vessel ischemic disease, unchanged.No evidence of acute ischemic or hemorrhagic lesion.