Headache and seizures. There are postoperative findings related to right temporal craniotomy. There is unchanged encephalomalacia in the right temporal lobe. There are also unchanged scattered foci of cerebral white matter T2 hyperintensity. The hippocampi appears to be intact. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. There is mild fusiform bulbous enlargement of the azygos anterior cerebral artery. The orbits, skull, paranasal sinuses, and scalp soft tissues are unchanged.
Postoperative findings with extensive right temporal lobe encephalomalacia and mild scattered probable chronic small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.