 Mild residual cortical thickening of the right insula is redemonstrated, similar to prior examination. No other areas of significant residual parenchymal thickening or abnormal signal are seen in the areas which had previously been affected including the right frontal lobe, thalamus and temporal lobe. No evidence of significant edema or mass effect is detected. Although postcontrast images are motion degraded, no definite pathologic intracranial enhancement is observed. Postoperative changes are seen from a previous right frontal approach biopsy of the thalamus.
Stable exam compared to 7/29/2016 with only minimal residual parenchymal thickening.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.