First presentation seizure with status. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are terminal zones of myelination in the bilateral parietal lobes. The brain parenchyma otherwise appears unremarkable. 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. The orbits, mastoid air cells, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is mild posterior plagiocephaly.
No evidence of gross seizure foci.