Reason: seizure focus? History: first time seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are more in the left hemisphere compared to the rightThe hippocampi are similar in size and signal characteristics.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 and demonstrates mucosal thickening in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.No evidence for acute cerebral infarction.2.No evidence for intracranial mass lesion or intracranial hemorrhage.3.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific but preferentially involve the left hemisphere. They are likely of little clinical significance but are nonspecific and their origin cannot be ascertained on this exam.4.No evidence for mesial temporal sclerosis.