Seizures Examination is mildly motion degraded. No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. No evidence of hemorrhage. The ventricles are within normal limits without evidence of hydrocephalus. Bilateral hippocampi are symmetric in size and signal characteristics with preserved internal architecture. There is mild global parenchymal volume loss supratentorially as well as in the cerebellum. There are minimal foci of T2/FLAIR hyperintensity in the bilateral frontal subcortical white matter, which are nonspecific, but within normal limits for age. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
There is mild parenchymal volume loss. Otherwise, examination is unremarkable for age without findings to suggest a seizure focus.