 Images are degraded by persistent patient motion. Given this caveat:There is subtle increased T2 hyperintensity (best visualized with axial FLAIR technique) primarily involving the mesial temporal lobes. There is also mild atrophy involving the anterior right temporal lobe. These findings are not associated with restricted diffusion, susceptibility abnormality, or enhancement.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The mastoid air cells are clear. There is no abnormal enhancement within the brain. Images of the internal auditory canals demonstrate the seventh and eighth nerves to be normal in size and symmetric bilaterally without masses or enhancing lesions along the course of these nerves or in the cerebellopontine angle cisterns bilaterally. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. There are no vascular anomalies.
There is subtle increased T2 hyperintensity (best visualized with axial FLAIR technique) primarily involving the mesial temporal lobes. There is also mild atrophy involving the anterior right temporal lobe. These findings are not associated with restricted diffusion, susceptibility abnormality, or enhancement. This is nonspecific in appearance but most likely suggest residua from a prior inflammatory/infectious process.