Female, 91 years old, with left trigeminal neuralgia and left facial asymmetry. Please note that although a complete brain examination was ordered and protocoled, patient discomfort prevented completion of the full study. As a result, a shortened examination tailored to the cranial nerves was performed.T2 hyperintensity and gyral thickening are seen in the left anterior temporal lobe in a pattern suggesting vasogenic edema. There are several small foci of hypointense signal or susceptibility along the anteriormost temporal lobe with adjacent ill-defined enhancement. No associated diffusion restriction is seen.The brain is only partially included within the field-of-view of this examination. These images do show evidence of periventricular T2 hyperintensity and mild generalized parenchymal volume loss. No clear pathologic enhancement is seen along the course of the cranial nerves though evaluation is limited. Incidental note is made of a fatty lesion superficial to the right sternocleidomastoid muscle in the upper neck which likely represents a lipoma. Mild scattered fluid is seen in the right mastoid air cells.
Vasogenic edema is seen in the left anterior temporal lobe with ill-defined associated enhancement and scattered foci of low signal which could represent blood product, mineralization or vascular structures. Due to exam limitations as above, this abnormality is incompletely evaluated on the present study. The patient will be called back to complete standard imaging sequences of the brain. These findings were discussed with Dr. Bernard at 1:00 PM on 07/22/16.