Complex partial seizures with EEG showing left temporal lobe discharges. There is patient motion, most pronounced on the susceptibility-weighted and isotropic T1 imaging. There is no gross intracranial hemorrhage. There is no acute infarct. The ventricles, sulci and other CSF-containing spaces are normal in size. There is no sign of malformation of cortical development. The hippocampi show no definite volume loss, abnormal signal or loss of architecture accounting for slight rotation of the left hippocampus. Otherwise, there is no mass-effect, midline shift or brain herniation. The major intracranial vascular flow voids are preserved. There are dilated perivascular spaces inferior to the deep gray nuclei.There is no destructive skull lesion or gross scalp abnormality. The orbits are also unremarkable. There is trace ethmoid mucosal thickening.
1.No definite hippocampal volume loss, abnormal signal or architectural loss. Left hippocampal head is mildly rotated.2.Otherwise, the examination is unremarkable.