Reason: rule out structural abnormalities History: seizure There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered periventricular T2 hyperintensities as well as a small T2 hyperintensity in the head of the left caudate without diffusion restriction. This is nonspecific but likely suggests mild chronic small vessel ischemic disease. Hippocampi are symmetric without evidence of atrophy or abnormal signal. No heterotopic gray matter is identified. 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. The paranasal sinuses are unremarkable.
1.No mass or other findings to explain patient's seizures.2.Mild chronic small vessel ischemic disease.