A 25-year-old man presented with seizures and was found to have neurocysticercosis based on imaging findings. MRI showed multiple hypo-intense brain lesions on T1W and FLAIR sequences that were hyper-intense on T2WI, with a central nodule in each lesion. He was treated with albendazole and a VP shunt was placed for associated hydrocephalus. Follow-up imaging showed decreased lesion size and resolution of hydrocephalus. Neurocysticercosis results from Taenia solium infection and can cause seizures, hydrocephalus, and other neurological symptoms.