Focal seizures with secondary generalization, most likely temporal semiology. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma, including the hippocampi, appears unremarkable. There is no evidence of grey matter heterotopia. 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 are grossly unremarkable. There is a right auricular subcutaneous lipoma that measures up to 20 mm. There is fluid and mucosal thickening in the bilateral maxillary, right ethmoid, and right frontal sinuses.
1. No gross structural intracranial abnormality.2. FIndings suggestive of acute sinusitis.