2-year-old previously healthy male with a recent history of abdominal lymphovascular resection 4 weeks ago, who presents with new onset focal seizures (left arm stiffening, staring, drooling). Please evaluate for brain malformation or abnormality. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears within normal limits, including bilateral terminal zones of myelination in the posterior cerebral hemispheres. No findings to suggest seizure focus are appreciated. Specifically, there is no evidence of gray matter heterotopia or cortical dysplasia. The bilateral hippocampi are symmetric in size, signal characteristics, and with preserved internal architecture There is no evidence of abnormal 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, and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal mucosal thickening.
No findings to suggest seizure focus are appreciated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.