History of refractory epilepsy. There has been expected interval evolution of left medial temporal lobe laser ablation effects including development of an area of encephalomalacia measuring up to 28 mm in the previously enhancing treated region of the left temporal lobe. There appears to be a small area of encephalomalacia in the posterior external capsule region on the right. The ventricles are unchanged in size and configuration. There is no midline shift. There are small left maxillary and sphenoid sinus retention cysts and mild mucosal thickening in the right maxillary sinus.
Expected interval evolution of left medial temporal lobe laser ablation effects.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.