9 year-old boy with history of intractable epilepsy. The hippocampi and parahippocampal gyri appear unremarkable. However, there is a subcetimeter focus of T2 hyperintensity and susceptibility effect in the posterior limb of left internal capsule. Additionally, there is a small curvilinear susceptibility artifact extending medially from this focus. There is no evidence of acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
A focus of signal abnormality in the left internal capsule may represent a small developmental venous anomaly that may be associated with a cavernous malforamtion. A contrast-enhanced MRI of the brain can be considered for further evaluation.