43 years, Female, Reason: eval s/p ablation for epilepsy History: epilepsy. Compared to 9/9/2015, there is been decrease in enhancement related to ablation of the right amygdala/hippocampus. There is also mild T2/FLAIR hyperintensity within this region which may represent gliosis. Mild volume loss in the right medial temporal lobe is also noted when compared to prior MRI dating back to 4/30/2014 with slight increase in size of the right temporal horn. Changes of prior left-sided electrode placement involving the left medial temporal lobe also noted. Unchanged mild nonspecific patchy T2 hyperintensity in the frontoparietal periventricular white matter. No evidence of acute ischemia, intracranial hemorrhage, new mass or mass effect. No hydrocephalus. Multiple burr holes in the bilateral occipital and right temporal calvarium again seen.
Interval decrease in enhancement in the right medial temporal lobe consistent with evolution of posttreatment changes of prior laser ablation.