Increase seizures and headaches. There are subcentimeter foci of high T2 signal in the anterior right subinsular and adjacent inferior right frontal lobe white matter. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. 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. However, there is fluid within the left mastoid air cells and middle ear.
1. Nonspecific subcentimeter foci of high T2 signal in the anterior right subinsular and adjacent inferior right frontal lobe white matter. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Nonspecific fluid within the left mastoid air cells and middle ear may represent otomastoiditis.