Loss of consciousness. Evaluate for seizure focus. Susceptibility artifact from braces significantly limits evaluation. The bilateral hippocampi are symmetric. There is no evidence of large intracranial hemorrhage, mass effect, or acute infarct of the visualized brain parenchyma. There are scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. Evaluation is significantly limited by artifact from braces which may obscure some abnormalities especially in the anterior frontal and temporal lobes. To the extent of visualization there is no evidence of mesial temporal sclerosis. Consider repeat study when braces are removed.2. Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 