13 years Female (DOB:5/26/2002)Reason: Female, 13 years old, with seizures and mesial temporal abnormalities on prior imaging. re-evaluate temporal lobe History: encephalopathy w/ temporal lobe abnormalitiesPROVIDER/ATTENDING NAME: CHARLES J. MARCUCCILLI CHARLES J. MARCUCCILLI The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of generalized brain atrophy present and a marked degree of atrophy of the right temporal lobe. There is atrophy of the right hippocampus.. It is stable compared to the prior examNo 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.
The examination is stable. There is redemonstration of brain atrophy predominantly involving the right temporal lobe and especially the right hippocampus.