Left hypothalamic brain lesion. There is redemonstration of a left hypothalamic 14 x 8 mm T2 hyperintense lesion, previously measuring 14 x 10 mm. It is associated with a small nodule of enhancement measuring 3 mm, previously 4 mm. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There is diffuse mucosal thickening of the paranasal sinuses with mucous retention cysts/polyps within the left maxillary sinus.
No significant change in size of the left hypothalamic T2 hyperintense lesion with stable to slightly decreased nodular focus of enhancement. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.