Epilepsy. The left hippocampal head appears to have slightly indistinct internal architecture and slight volume loss, with minimal signal abnormality. There is unchanged minimal asymmetry of the temporal horns of the lateral ventricles. There is also unchanged slight prominence of the bilateral lateral cerebellar hemisphere folia. Otherwise, there is no evidence of intracranial hemorrhage, mass, or acute infarct. 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.
Suggestion of mild left medial temporal sclerosis, but no evidence of acute intracranial tumor.