Standard T1 and T2 weighted scans were supplemented by 3-D FLAIR and 3-D T1 weighted acquisitions. Lateral, third and fourth ventricles are mildly enlarged and cerebral cortical sulci are generally wider than normal. The cerebellum also shows evidence of at least mild atrophy. The medial aspects of both temporal lobes are markedly dysplastic. The hippocampal formations posteriorly appear within normal limits, but body and pes are unrecognizable, due to lack of normal folding and lack of normal internal structure. Relative thinness of the corpus callosum reflects generalised tissue loss.
Conclusion: Bilateral dysplastic temporal lobes. Mild to moderate generalised atrophy. Moderate cerebellar atrophy.