Medically refractory epilepsy left side epileptic activity: complex partial with bilateral frontal lobe onset and secondary generalization. There is no evidence of mass or acute infarct. There is a small focus of susceptibility artifact in the superficial right middle frontal gyrus with associated very mild T2 signal abnormality not significantly changed and suggestive of prior insult. There also appear to be terminal zones of myelination. Otherwise, there are no parenchymal signal abnormalities. The corpus callosum appears unchanged from the prior examination, with relative thinning along the posterior body. The ventricles are unchanged in size. There is no midline shift or herniation. The major cerebral flow voids are intact. There is minimal mucosal thickening within the paranasal sinuses as well as dependent secretions within the nasopharynx.
Small focus of susceptibility artifact and parenchymal abnormality involving the right frontal lobe appearing similar to prior and likely the sequela of prior injury.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.