Clinical question: Epilepsy 2 protocol. 1 mm thin cuts. Signs and symptoms: Seizure since age 20. Nonenhanced brain MRI:Unremarkable diffusion weighted series.On axial and coronal T2 and FLAIR images there is mild prominence of the right anterior temporal horn of lateral ventricle and suggestion of mild decreased volume of right hippocampal gyrus compared to the left however without detectable signal abnormality. This finding is best appreciated on coronal T2 and T2 FLAIR on images 14 through 18).The anatomical development, morphology and signal intensity of brain otherwise remains within normal. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Signal void of all major intracranial arterial branches are identified and unremarkable.The signal intensity of intracranial venous sinuses are within normal.Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.
1.No acute intracranial process.2.Subtle prominence of temporal horn of right lateral ventricle anteriorly and mild decreased volume of the right hippocampal gyrus however without detectable signal abnormality as detailed above.3.Unremarkable nonenhanced brain MRI otherwise.