History of complex partial epilepsy. There are a few scattered nonspecific T2 hyperintense cerebral white matter lesions. The rest of the brain, including the hippocampi, brainstem, and cerebellum appear unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a partially empty sella. 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. There is fluid in the left mastoid air cells. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Mild scattered nonspecific cerebral white matter lesions.2. Nonspecific partially empty sella, which may be related to pseudotumor cerebri or pituitary atrophy, for example.3. Fluid in the left mastoid air cells may represent mastoiditis.