Male, 49 years old, with seizures. Numerous punctate foci are seen scattered through the cerebral white matter. No evidence of parenchymal edema or mass effect is seen. No restricted diffusion is evident.The left hippocampal formation is slightly smaller than the right and seems to show mildly elevated T2 signal relative to the right. The left fornix and mammillary body are also slightly smaller than the right.No evidence of any intracranial hemorrhage or abnormal extra-axial fluid is seen. Ventricles are normal in size and morphology.
1.Findings suggestive of mesial temporal sclerosis on the left.2.Scattered small foci of white matter T2 hyperintensity are a nonspecific finding which may reflect an underlying vascular, demyelinating or inflammatory etiology among others.