Seizure MRI of the brainThere is a lesion present along the medial aspect of the right temporal lobe measuring 27 x 19 mm axial dimensions which has predominantly T2 hyperintensity and heterogeneous appearance on FLAIR and T2 imaging it appears to be associated with some mass effect. It involves both gray and white matter. It is associated with a minimal degree of contrast enhancement. There is no associated significant susceptibility artifact which can be identified clearly within this lesion.No diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. 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 demonstrate a mucous retention cyst in the right maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRV brain:The dural venous sinuses are patent. Straight sinus, internal cerebral veins and basal veins are identified and appear patent.
1.There is a right medial temporal lobe mass which extends to involve the amygdala and the head of the hippocampus which is concerning for a primary brain tumor. Although its location and appearance suggest primary tumor such as oligodendroglioma, DNET and ganglioglioma, the possibility that it represents a different neoplasm can't be excluded.2.MR venogram of the brain is within normal limits