Clinical question: Follow brain MRI, last MRI was motion degraded, seizure protocol tube. 3T the possible. Signs and symptoms: Left temporal epilepsy, medically intractable, postsurgical workup. Nonenhanced brain MRI:No diffusion weighted abnormalities.Examination is slightly degraded due to motion artifact infarct there are axial series however diagnostic.Examination again demonstrates very subtle fullness of the left hippocampus without definite associated signal abnormality of parenchymal this site. The temporal horn of the lateral ventricle is identified and demonstrate no abnormality. The anterior tip of right temporal horn is slightly larger than left and similar to prior studies. This also is not associated with any adjacent parenchymal signal abnormalities. There is no appreciable change of these findings of questionable clinical significance. Correlate with neurological evaluation as well as EEG findings.The signal intensity and morphology of the brain otherwise demonstrate normal signal intensity on all MRI sequences and stable since prior exam.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Unremarkable images through the orbits, paranasal sinuses, mastoid air cells as calvarium and soft tissues of the scalp. A small right maxillary retention cyst however is noted.
1.No evidence of an acute or new finding since prior study.2.Stable mildly prominent left hippocampus without associated signal abnormality or interval change.3.Stable mildly larger anterior tip of the right temporal horn since prior exam.4.Stable nonspecific linear flair hyperintensity along the margin of left lateral ventricle laterally.5.Unremarkable nonenhanced brain MRI otherwise.