 No intracranial mass or mass-effect. No abnormal parenchymal or meningeal enhancement. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size for age. There is symmetric T2 hyperintense signal involving the bilateral hippocampi. Brain parenchymal volume is within normal limits for age.Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits. Again seen are small cystic lesions in the nasopharynx which may represent small mucous retention cysts or Tornwaldt cyst.
1. No structural lesions are appreciated to suggest seizure focus. No intracranial mass or abnormal enhancement. 2. There is mild symmetric T2/FLAIR hyperintensity in the bilateral hippocampi without significant volume loss and similar to prior from 11/18/2013. No clear findings of mesial temporal sclerosis. 3. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes.