Episodes of confusion since 2014. Epilepsy protocol. The bilateral hippocampal regions are symmetric. There is no evidence of gray matter heterotopia or cortical dysplasia. There is no evidence of intracranial hemorrhage, mass effect, or acute infarct. The brain parenchyma appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The sella appears to be partially empty, but this probably just represents a relatively U-shaped pituitary gland. The skull and extracranial soft tissues are unremarkable.
Unremarkable evaluation of the brain with no specific findings to account for the patient's symptoms.