Male, 29 years old, with history of epilepsy status post laser ablation. Surveillance imaging of the ablation focus. Sequelae of left occipital approach laser fiber placement are seen. Mild tissue distortion and signal abnormal are seen within the mesial left temporal lobe compatible with ablation. Two foci of enhancement at this site are present and appear smaller than the enhancing regions noted on the intraprocedural examination.The remainder of the brain is free of pathologic signal alteration or enhancement. No abnormal extra-axial fluid collections are detected. No significant edema or mass effect is seen. The ventricles are normal in size and morphology. Left frontal and left temporal burr hole defects are seen.
Expected findings status post left mesial temporal ablation.