evaluate for possible seizure etiology in pt with first time seizure No abnormal diffusion restriction. No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No extra-axial fluid collections. The ventricles, sulci, and cisterns are normal in size without evidence of hydrocephalus. Gray-white matter differentiation is preserved. There is symmetric size, configuration, and preservation of internal architecture of the bilateral hippocampi. Nonspecific scattered opacification of ethmoid air cells and bilateral sphenoid, maxillary and right frontal mucosal thickening. Imaged mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unremarkable. Normal flow voids are present within major intracranial vasculature.
No specific structural seizure focus is identified. Nonspecific sinus disease.