32 years, Female, cystic fibrosis and epilepsy and bilateral cortical changes on prior MRI. There is T2/FLAIR hyperintensity involving the cortex and subcortical white matter of the right frontal and right parietal lobes which is decreased compared to 7/17/2016. There areas of subtle thinning involving the gyri consistent with volume loss. There are also areas of T1 hyperintensity compatible with laminar necrosis related to prior injury.There is no evidence of acute infarct, hemorrhage, intracranial mass, or mass effect. No new area of parenchymal signal abnormality is evident. No midline shift or herniation. Ventricles are normal in size. There is diffuse opacification of the right maxillary sinus as well as the right anterior ethmoid air cells and to a milder degree on the left but similar to prior. There is suggestion of prior endoscopic sinonasal surgery.
Compared to multiple prior studies from June and July 2016, there has been decrease in extent of cortical and subcortical FLAIR signal abnormality, which predominantly involved the right cerebral hemisphere. Residual FLAIR abnormality with areas of laminar necrosis and volume loss in the right frontal and right parietal lobes is compatible with encephalomalacia/gliosis as sequela of prior injury.