Female 39 years old Reason: seizure focus There is no evidence of acute infarct or hemorrhage. Extra-axial focus of susceptibility along the right anterior frontal convexity measuring 6 mm may represent a small calcified meningioma, but not well assessed without gadolinium. No significant mass effect on the underlying brain parenchyma. No appreciable evidence of cortical dysplasia, gray matter heterotopia, or suspicious intracranial mass. Bilateral hippocampi are symmetric and grossly unremarkable. No midline shift or herniation.There is abnormal T2 hyperintensity involving the bilateral cerebellar hemispheres as well as the vermis with associated moderate volume loss. No significant swelling of the cerebellum or mass effect. Punctate nonspecific focus of T2/FLAIR hyperintensity in the right frontal lobe is nonspecific.Mild prominence of the pituitary gland which can be seen with pregnancy. Calvarium and extracranial soft tissues are grossly unremarkable.
1.No evidence of acute infarct, hemorrhage, or mass effect.2.There is abnormal T2 hyperintensity involving the bilateral cerebellar hemispheres as well as the vermis with associated moderate volume loss. The volume loss may be related to chronic epileptic medications for seizures but given T2 hyperintensity raises the possibility of gliosis from prior inflammation or other injury. Comparison with prior MRI, if available, may be helpful.3.Subcentimeter anterior frontal extra-axial focus of susceptibility is nonspecific and not well evaluated with contrast, but may represent a small calcified meningioma. No significant associated mass effect.