History of neuroblastoma with right temporal signal abnormality on prior MRI, follow-up. There is a solitary, ovoid 4 x 5 mm focus of high T2 signal within the mid right temporal lobe, which has slightly decreased in size and intensity compared to the prior examination and which lacks associated mass effect, restricted diffusion, susceptibility abnormality, or enhancement. The brain parenchyma otherwise appears unremarkable. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
A nonspecific subcentimeter lesion within mid right temporal lobe appears less prominent than on the 11/9/2015 exam. Otherwise, no evidence of neuroblastoma metastases to the head.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.