Reason: F/u MRI brain after dentures removed History: complex partial seizures with secondary generalization with no known structural lesions The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.In the temporal horn of the right lateral ventricle is larger than the temporal horn of the left lateral ventricle. There is no signal hyperintensity appreciated within the hippocampi. The size of the hippocampi are symmetric.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.
1.No convincing evidence for mesial temporal sclerosis on the basis of this exam