Epilepsy with seizure semiology that is suggestive of right frontal midline lesion. Assess for structural abnormality. There is no focal cortical thickening or poor definition of the gray-white-matter interface. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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, with nondominant right vertebral artery. The pituitary gland appears unremarkable. Mild mucosal thickening in the paranasal sinuses is nonspecific. The mastoid air cells are clear. There is no destructive skull lesion. The orbits are unremarkable. There are small lymph nodes in the upper neck, which is a common finding in this age group.
No MR findings to suggest malformation of cortical development or other structural procedure focus.