Female, 40 years old, status post left temporal craniotomy for resection of a cerebrovascular malformation on 07/14/16. Evidence of left temporal craniotomy is seen. A small amount of fluid in the extradural space along the craniotomy is within expected limits. There is a hemosiderin stained resection cavity involving the left anterior temporal lobe extending medially to incorporate the site of previously demonstrated susceptibility inducing lesion. The surrounding brain parenchyma demonstrates encephalomalacia. Mild ill-defined enhancement along the operative tract likely represents postoperative granulation. Given that the regional anatomy is distorted, it is difficult to determine if the associated developmental venous anomaly is still present.Elsewhere no significant parenchymal signal abnormality is detected. No edema or mass effect is observed. There are no other areas of pathologic intracranial enhancement. The ventricles remain normal in size and morphology.
Expected findings are seen status post resection of the previously demonstrated left temporal cerebrovascular malformation.