 Craniotomy defect is noted in the right temporal bone with some underlying volume loss and encephalomalacia which was seen on prior MRI. The gray-white matter differentiation is normal. There is no mass effect, midline shift, or acute intracranial hemorrhage. The ventricles, and cisterns are symmetric and unremarkable. Limited views of the paranasal sinuses and mastoid air cells are unremarkable.
Postsurgical changes in the right temporal bone and underlying temporal lobe. No acute intracranial abnormalities. For evaluation of new masses MRI with contrast is recommended.