Increasing seizure activity with right temporal EEG abnormalities. The hippocampi appear to be grossly unremarkable. There is no evidence of cortical heterotopia or discernible cortical malformation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few nonspecific areas of T2 hyperintensity in the cerebral white matter, particularly in the frontal lobes. There are prominent perivascular spaces in the bilateral parietal lobes. There is no abnormal intracranial enhancement. 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 and scalp soft tissues are unremarkable. There is mild plagiocephaly. There is a small retention cyst in the left maxillary sinus.
Few nonspecific areas of T2 hyperintensity in the cerebral white matter, particularly in the frontal lobes. Otherwise, the hippocampi appear to be grossly unremarkable, without discernible potential seizure foci.