Neoplasm of uncertain behavior of brain and spinal cord. Localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, with intractable epilepsy Other postprocedural status(V45.89) The patient is status post right temporal craniotomy for right temporal lobe surgery and partial removal of the hippocampus. There is redemonstration of T2 and flair signal hyperintensity adjacent adjacent to the surgical bed compatible with gliosis.There is metal artifact from the patient's dentition which significantly distorts SWI and DWI imaging and obscures visualization of the orbits and paranasal sinuses.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the mastoid air cells are clear. There is mucosal thickening in the left sphenoid sinus. The rest of the paranasal sinuses are not adequately visualized.Incidental note is made of congenital fusion of C2 and C3.
1.Status post right temporal lobe and hippocampal surgery. The examination is stable when compared to the prior exam2.No left temporal lobe cyst is identified3.Congenital fusion of C2 and C3 can be associated with Klippel-Feil.