Reason: What is the hypodensity in the right temporal lobe? History: Above with R-sided headache and left thigh, left upper arm numbness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
MRI of the brain is within normal limitsMRI BRAIN WWO, 4/29/2015 5:13 PMCLINICAL INFORMATION:Reason: What is the hypodensity in the right temporal lobe? History: Above with R-sided headache and left thigh, left upper arm numbnessCOMPARISON: None.TECHNIQUE: The University of Chicago adult basic brain MRI protocol with and without contrast was followed . mL multihance was usedFINDINGS:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a focus of diffusion restriction present along the medial aspect of the right temporal lobe extending into the right occipital lobe measuring 64 x 25 mm in axial dimensions. It is located along the right fusiform gyrus. An additional focus of diffusion restriction is present along the right hippocampus. A 7-mm focus of diffusion restriction is present in the right parietal lobe at the inferior parietal lobule Several punctate foci of diffusion restriction are present in the left and right occipital lobe, right inferior parietal lobule and right inferior temporal gyrus. A punctate focus of diffusion restriction is present at the left frontal lobe medially. There is associated enhancement present along the right fusiform gyrus lesion which is somewhat patchy and partially cortically based.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.