23 year old female patient with seizure like episodes. History of bipolar type I as well as anxiety disorder. There is asymmetrically slight vertical alignment of the right collateral sulcus and a globular morphology of the right hippocampus, but the internal architecture and signal is not grossly abnormal and there is no significant hippocampal atrophy. The brain parenchyma otherwise appears unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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, including a fetal origin of the right posterior cerebral artery. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Apparent mild malrotation of the right hippocampus, but no evidence of tumor or mesial temporal sclerosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.