Epilepsy at childhood, then again age 21. There appears to be mild diffuse T2 hyperintensity in the right hippocampus with perhaps slight volume loss. The brain parenchyma otherwise appears unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a partially empty sella. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Findings suggestive of right medial temporal sclerosis. Follow up via MRI with contrast may nevertheless be useful.2. A partially empty sella may indicate pseudotumor cerebri.