Female, 27 years old, with right frontal epilepsy since age 11, medically intractable. Presurgical valuation. No evidence of parenchymal signal abnormality, restricted diffusion, edema or mass effect is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. Ventricular size and morphology are within normal limits. The mesial temporal lobe structures are symmetric and free of signal abnormality. No structural abnormalities are suspected. A pineal cystic lesion is evident measuring up to 15 mm in diameter, unchanged from prior.
1.No specific findings to account for the patient's seizures.2.A pineal cystic lesion is noted incidentally, unchanged and likely benign.