Seizures, behavior disorder. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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 diffuse paranasal sinus mucosal thickening and secretions. There is also a small amount of fluid signal in the left mastoid air cells.
1. No seizure focus identified.2. Extensive paranasal sinus inflammatory changes.3. A small amount of fluid signal in the left mastoid air cells may represent mastoiditis in the appropriate clinical setting.