Seizure like activity. There is no evidence of heterotopia or mesial temporal sclerosis. 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 a mega cisterna magna. 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 extensive diffuse paranasal sinus mucosal thickening. There is patchy fluid signal within the bilateral mastoid air cells.
1. No discernible seizure foci.2. Findings suggestive of sinusitis and mastoiditis.