convulsions. Evaluate for underlying structural lesion The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is subtle FLAIR signa asymmetry of the hippocampi with more signal on the right hippocampus.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate opacities in the right frontal sinus and right anterior ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Although there is no evidence for hippocampal atrophy there is subtle signal hyperintensity in the right hippocampus relative to the left. This is non-specific. The possibility of mesial temporal sclerosis cannot be excluded.