24 year old female with seizure history. Again seen is encephalomalacia in the left temporal lobe, compatible with prior temporal lobe resection and unchanged since the prior examination.There is crowding of the foramen magnum. This is compatible with mild cerebellar tonsillar ectopia which was seen on the prior MRI dated 7/3/08No evidence of acute hemorrhage. No evidence of mass or midline shift. The gray-white differentiation is preserved. There are surgical changes compatible with prior left frontotemporal craniotomy. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Postsurgical and other chronic changes as above. No evidence of acute hemorrhage or midline shift.