Female, 67 years old, with increasing seizures and headaches. Atrophy with diffuse abnormal T2 hyperintensity is again seen involving the right parietal, occipital and temporal lobes, appearing similar to the prior examination. In particular, the right hippocampus is atrophic but this finding is unchanged. The volume of the left cerebral hemisphere is preserved. Relatively mild patchy periventricular T2 hyperintensity is seen, also similar to prior. No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. No parenchymal edema or mass effect is seen. The ventricular system is stable in size.
1.No significant interval change in the pattern of atrophy and associated gliosis involving the right parietal, occipital and temporal lobes. In particular, the right hippocampus is atrophic but this finding is also unchanged.2.No new intracranial findings are identified to account for the patient's worsening symptoms.