 Artifact from patient's dental braces somewhat limits this exam, especially the susceptibility weighted and diffusion weighted sequences. Incomplete suppression of CSF on the FLAIR sequence is likely secondary to this artifact. There is thinning of the perirolandic cortex bilaterally with loss of normal T2 hyperintensity. There is no associated parenchymal volume loss or abnormal white matter signal and the central sulci are normal in appearance. There is no evidence of mass or acute infarct. There are no areas of abnormal parenchymal signal. The hippocampi are symmetric and normal in appearance. The ventricles and basal cisterns are normal in size and configuration. The midline structures and craniocervical junction are within normal limits. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
Grey matter/cortex thinning and loss of normal cortical T2 hyperintensity within the peri-Rolandic cortex bilaterally is nonspecific and of uncertain clinical significance although may be related to a early post-natal hypoxic ischemic event. There is no evidence of swelling or abnormal white matter signal to suggest an acute process. The MRI is otherwise unremarkable within the limitations as discussed above.