21 years Male (DOB:8/7/1995)Reason: evaluate structural changes. Abnormalities History: medically refractory epilepsy, increase in night sweating, increase in seizure activityPROVIDER/ATTENDING NAME: PATRICIA OGDEN PATRICIA OGDEN There is interval development of right frontal temporal parietal craniotomy. In addition, there are encephalomalacia involving right frontal lobe, right temporal lobe with associated ex vacuo changes of the right lateral ventricle.There is no evidence of acute ischemic or hemorrhagic lesion.There is no evidence of abnormal enhancement.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Interval development of right frontal parietotemporal craniotomy ostomy with underlying encephalomalacia involving right frontal and temporal lobes.2. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.