11 year old female with history of moyamoya disease and headache at the surgical site Postsurgical changes status post left parietal burr hole and left temporal craniotomy is noted. The bones appear to be in normal anatomic alignment.There is no evidence of intracranial hemorrhage, midline shift, mass or edema. Previously identified periventricular hypoattenuation are again noted and not significantly changed considering positional and technical differences, compatible with known moyamoya disease. The ventricles, cortical sulci and basal cisterns are normal in size and configuration.The visualized paranasal sinuses and mastoid air cells are well pneumatized.
1.No acute intracranial abnormality.2.Postsurgical changes status post left parietal burr hole and left temporal craniotomy.3.Periventricular white matter hypoattenuation not significantly changed compared to prior exam considering positional and technical differences, and compatible with known history of moyamoya disease. 