 There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. There is mildly increased T2 hyperintensity throughout the right hippocampus, as well as questioned mild volume loss within the right hippocampal head. There is moderate volume loss within the cerebellum as well as mild prominence of the prepontine CSF space. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
1.Mild abnormal signal throughout the right hippocampus and questioned mild volume loss within the right hippocampal head may represent mild mesial temporal sclerosis.2.Cerebellar volume loss is nonspecific but may be congenital or secondary to seizure medications. Comparison with prior exams is suggested.