 Multiple sequences are degraded by extensive motion artifact. There is suggestion of increased FLAIR signal involving the mesial right temporal lobe, however the hippocampal architecture appears grossly unremarkable. A few other areas of scattered cortical FLAIR hyperintensity are questioned more posteriorly in the peripheral right temporal lobe. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is opacification of the right frontal sinus with a fluid-fluid level, a portion of which is more proteinaceous given high T1 and low T2 signal. A small mucous retention cyst is demonstrated in the nasopharynx.
1. Subtle increased FLAIR signal of the right mesial temporal lobe without architectural distortion, with additional questioned lateral right temporal lobe cortical FLAIR hyperintensity, is of uncertain significance and may be related to postictal state. Recommend correlation with seizure history and EEG.2. Right frontal sinus disease. Please correlate clinically for possible acute sinusitis.