Recent models of episodic memory propose a division of labor among medial temporal lobe cortices comprising the parahippocampal gyrus. Specifically, perirhinal and lateral entorhinal cortices are thought to comprise an object/item information pathway, whereas parahippocampal and medial entorhinal cortices are thought to comprise a spatial/contextual information pathway. Although several studies in human subjects have demonstrated a perirhinal/parahippocampal division, such a division among subregions of the human entorhinal cortex has been elusive. Other recent work has implicated pattern separation computations in the dentate gyrus and CA3 subregions of the hippocampus as a mechanism supporting the resolution of mnemonic interference. However, the nature of contributions of medial temporal lobe cortices to downstream hippocampal computations is largely unknown. We used high-resolution fMRI during a task selectively taxing mnemonic discrimination of object identity or spatial location, designed to differentially engage the two information pathways in the medial temporal lobes. Consistent with animal models, we demonstrate novel evidence for a domain-selective dissociation between lateral and medial entorhinal cortex in humans, and between perirhinal and parahippocampal cortex as a function of information content. Conversely, hippocampal dentate gyrus/CA3 demonstrated signals consistent with resolution of mnemonic interference across domains. These results provide insight into the information processing capacities and hierarchical interference resolution throughout the human medial temporal lobe.T he encoding of episodic memories is known to rely on a network of brain regions within the medial temporal lobes (MTL) (1). Past models of episodic memory have largely focused on the functional role of the hippocampus and its subregions. A wealth of recent evidence has implicated pattern separation, a computation by which overlapping inputs are orthogonalized into nonoverlapping outputs, as a key process in resolving interference among similar memories (2). This computation is widely thought to occur as a function of sparse firing patterns of granule cells of the hippocampal dentate gyrus (DG), which form powerful mossy fiber synapses with large numbers of pyramidal cells in subregion CA3 (3-6). A critical role for the DG in orthogonalizing interfering inputs has been demonstrated in animal studies by using lesions (7-9), NMDA receptor knockouts (10), electrophysiological recordings (11, 12), and human functional MRI (13-15).Numerous studies have provided evidence for selective information processing in cortical areas that project to the hippocampus. Much of this research has focused on perirhinal cortex (PRC) and parahippocampal cortex (PHC, postrhinal in the rat). PRC has been shown to be critical for memory of item or object information, whereas PHC has been shown to play a role in memory of contextual or spatial information both in rats (16-18) and in humans (19)(20)(21). These dissociations are consistent with diff...