Intermittent shaking spells, history of craniopharyngioma status post resection. There are findings related to left frontal craniotomy with a small areas of anterior left frontal lobe encephalomalacia. There is also minimal diffuse periventricular white matter T2 hyperintensity, which may represent chronic small vessel ischemic disease. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. 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, and scalp soft tissues are grossly unremarkable. There are secretions that complete fill the right maxillary sinus. There is a small amount of fluid in the bilateral mastoid air cells.
Post-treatment findings in the left frontal lobe, but no evidence of intracranial hemorrhage, mass, or acute infarct. 