Presentation
Transient slurred speech for 1 hour. No loss of consciousness, neurological deficit, seizures or mouth deviation.
Patient Data
Small focal hypodensities in the bilateral external capsule areas, which are likely old infarctions or perivascular spaces. No recent major territorial infarction or intracranial hemorrhage is seen. Small fat density within the falx. Prominent choroid plexuses of both lateral ventricles.
No acute infarction or diffusion restriction is seen. Mild age-related cerebral atrophy, mild changes of cerebral small vessel disease, perivascular spaces and small fat signal intensity within the falx. Bilateral choroid plexus lesions in the trigone; these lesions are close to the CSF signal intensity on T1 & T2 with incomplete attenuation on FLAIR and are of high signal on DWI with intermediate ADC signal.
Case Discussion
Choroid plexus lesions are choroid plexus xanthogranulomas. Its an incidental finding and does not need any intervention or follow up.
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