Recent brain cyst removal w/ NSG 11/11, now with post op seizure. There are postoperative findings of left frontal craniotomy for resection of previous identified third ventricular cystic lesion. There is gliosis and a small amount of enhancement along the surgical tract in the left frontal lobe with a small amount of residual enhancement involving the anterior body of the corpus callosum. There is an evolving infarct with enhancement involving the genu of the right internal capsule extending inferiorly to the level of the hypothalamus. Blood products with prominent associated susceptibility are again demonstrated within the surgical bed involving the body of the corpus callosum. There are additional blood products within the ventricles, especially along the left side casting the choroid plexus. There is a small area of diffusion restriction within the surgical bed, decreased since prior examination. No acute intracranial hemorrhage is identified. There is no midline shift appreciated.
1. Expected evolution of postoperative changes related to the lateral ventricular mass resection are again identified.2. Blood products with small area of diffusion restriction is again seen in the surgical bed involving the body of the corpus callosum.3. Evolving infarct with enhancement is again seen involving the genu of the right internal capsule, extending inferiorly to the level of the hypothalamus.