2 years, Male, nocturnal complex partial seizures. Right occipital discharges on EEG. There is very mild T2/FLAIR hyperintensity in the parieto-occipital white matter which is nonspecific and at least in part related to perivascular spaces and normal terminal zones of myelination. There is no significant parenchymal signal abnormality. No intracranial mass or mass effect. No findings to suggest cortical dysplasia, gray matter heterotopia, or other findings to suggest seizure focus. No intracranial mass or mass effect. Ventricles and sulci are within normal limits in size. No extra-axial collections. No midline shift or herniation. There is apparent punctate focus of low signal on the susceptibility weighted sequence along the surface of the superior temporal gyrus which is favored to be related to a vessel. No definite evidence of a hemorrhagic lesion. No evidence of ischemia.There is nonspecific opacification throughout the paranasal sinuses. Sella and orbits are grossly unremarkable. Calvarium and extra cranial soft tissues are grossly unremarkable.
No structural abnormalities to suggest a seizure focus, including in the right occipital region, are appreciated. No significant parenchymal signal abnormalities.