Status post CCM resection: left temporal seizures. There are postoperative findings related to left-sided craniotomy for left temporal lobe cavernous malformation resection. There is a small amount of hemorrhage within the resection cavity. In addition, there is a residual lesion with susceptibility effect and patchy enhancement in the left hippocampus that measures up to approximately 20 mm. There is vasogenic edema in the anterior temporal lobe, inferior left basal ganglia, and left cerebral peduncle, with mild uncal medialization. There is also perhaps mild acute ischemia along the surgical margins. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift. The major cerebral flow voids are intact. There is diffuse left scalp fluid. The orbits are grossly unremarkable.
Recent postoperative findings related to resection of a left temporal lobe cavernous malformation, with a small amount of hemorrhage in the surgical cavity and what appears to be a residual portion of cavernous malformation in the left hippocampus and surrounding vasogenic edema.