Intractable seizure. Localization-related focal partial seen in peptic syndrome with complex partial seizures Re-demonstration of the left frontal lobe middle and inferior gyri tissue loss with multiple lobulated cystic lesions which occupying the volume. The cystic lesions appear to be lined with brain tissue likely grey matter. In addition, underlying brain tissues of the cystic lesions show linear high signal intensity indicating gliosis. Therefore, most likely diagnosis of these lesions would be post-ischemic stroke porencephalic cyst. However, the communication of these cystic lesion with subarachnoid space cannot be confirmed with this MR scan.Comparing to prior MR images, the size of cystic lesions do not show any significant interval change since prior exam.Left inferior frontal gyrus and possibly inferior aspect of the left post central gyrus appear are not clearly identified but replaced with CSF spaces. The extent and morphology do not show any significant interval change since prior scan. The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Extensive left inferior frontal gyrus and inferior aspect of the left post central gyrus tissue loss with possible Porencephalic cyst formation with gliotic changes, no interval change since prior scan.2. Otherwise no remarkable finding.