Reason: Evaluate for seizure focus and for abnormalities to explain CP. History: Intractable epilepsy with staring and stiffening spells. R temporal/parietal, bifrontal, and generalized epileptiform discharges. Diplegic cerebral palsy. Global developmental delay. The CSF spaces are appropriate for the patient's stated age with no midline shift. No foci of diffusion restriction are appreciated.There is a 9 x 10 mm coronal dimension extra-axial cyst adjacent to the left superior frontal sulcus and mildly displacing adjacent veins which is associated with some subtle bone remodeling. It follows spinal fluid on all pulse sequences.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.Following the pharyngeal mucosal space there are couple small cystic lesions present at the level of the adenoids. These are likely of little clinical significance
1.Small arachnoid cyst adjacent to the left superior frontal sulcus.