36 year old male with right temporal lobe epilepsy with generalization. Please evaluate for MTS. There is an ovoid T1 hypointense and T2 hyperintense lesion that measures up to 7 mm along the medial aspect of the right hypothalamus, just superior to the mammillary body. The lesion is exophytic into the third ventricle. The the hippocampi are unremarkable. There is no evidence of intracranial hemorrhage or acute infarct. The pituitary appears unremarkable. There is no evidence of hydrocephalus. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
An ovoid T1 hypointense and T2 hyperintense lesion that measures up to 7 mm along the medial aspect of the right hypothalamus and may represent a neoplasm or hamartoma for example. Further evaluation via an MRI with contrast may be useful. Otherwise, the hippocampi are unremarkable.