 Redemonstrated is a right frontal approach deep brain stimulator, which courses in the right frontal lobe and terminates at the right medial temporal lobe. There is a branching pattern of enhancement with susceptibility effect and punctate T2 hyperintensity in the right thalamus and cerebral peduncle, which is unchanged. There is no associated mass effect. There is no evidence of a large acute intracranial hemorrhage or acute infarct. The brain parenchyma otherwise appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. Unchanged developmental venous anomaly in the right thalamus and cerebral peduncle. While associated microhemorrhages cannot be entirely excluded, there is no evidence of large acute intracranial hemorrhage. 2. Right frontal approach deep brain stimulator.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.