78-year-old female with possible seizure. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Scattered foci of T2 hyperintensity are found within the periventricular and subcortical white matter consistent with chronic small vessel ischemic disease. Otherwise, the brain parenchyma and pituitary gland appear unremarkable. The ventricles and sulci are prominent, consistent with diffuse volume loss. The basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No specific findings to explain seizure.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 