Medically refractory epilepsy treated with cortical resective surgery 2008 and status post vagal nerve stimulator surgery 2010. There are postoperative findings related to left temporal topectomy. There is confluent T2 hyperintensity along the surgical margins. There is mild compensatory midline shift to the left and mild ex vacuo dilatation of the left temporal horn. The hippocampi appear to be intact. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are unchanged.
Postoperative findings related to left temporal topectomy with confluent T2 hyperintensity along the surgical margins, which may represent gliosis and/or encephalomalacia. 