Left posterior parietal lesion, f/u progression: paresthesias. Brain: There is an unchanged T2 hyperintense lesion involving the left parietal cortex and underlying white matter extending towards the ventricular margin in a linear configuration. There is an unchanged cystic pineal gland that measures up to 12 mm. There is 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.Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Unchanged lesion in the left parietal lobe with features most suggestive of focal cortical dysplasia.2. Unchanged cystic pineal gland.3. No evidence of spinal cord lesions.