Questionable seizures and headaches. There is a punctate focus of high T2 signal in the left anteromedial putamen. There is no evidence of heterotopia, gross cortical malformation, or hippocampal sclerosis. There is also no evidence of intracranial hemorrhage 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
A punctate focus of high T2 signal in the left anteromedial putamen is nonspecific, but may represent a prominent perivascular space, for example. Follow up via a brain MRI with contrast may be useful. Otherwise, no other potential seizure foci are identified.