Epilepsy and headache. There is mild confluent periventricular white matter T2 hyperintensity, particularly in the bilateral occipital lobes, as well as a few scattered foci of T2 hyperintensity in the bilateral frontal lobe white matter. There is no evidence of heterotopia, hamartomas, medial temporal sclerosis, intracranial hemorrhage, mass, or infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small right ethmoid sinus retention cyst.
No evidence of heterotopia, hamartomas, medial temporal sclerosis, intracranial hemorrhage, mass, or infarct. Mild patchy areas of periventricular white matter T2 hyperintensity, particularly in the bilateral occipital lobes, as well as a few scattered foci of T2 hyperintensity in the bilateral cerebral white matter are nonspecific.