Epilepsy. The hippocampi are unremarkable and there is no evidence of heterotopia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are unchanged minimal scattered punctate foci of T2 hyperintensity in the cerebral white matter. The ventricles and basal cisterns are unchanged in size and configuration. There is a partially empty sella. There is no midline shift or herniation. The major cerebral flow voids are intact. There is fluid within the pneumatized left squamous temporal bone. The orbits, skull, and scalp soft tissues are otherwise unremarkable. There is a left maxillary sinus retention cyst. There is a subcentimeter T2 hyperintense focus in the posterior root of tongue, which may represent a thyroglossal duct cyst.
Multiple nonspecific foci of T2 hyperintensity in cerebral white matter are unchanged.