Pilocytic astrocytoma, increased seizure frequency. There are postoperative findings relate to prior right transparietal biopsy. There is no significant change in the non-enhancing T2 hyperintense mass that measures up to 22 mm involving the right medial temporal lobe. There is associated mild mass effect upon the right anterior midbrain and basal vein of Rosenthal. The ventricles are normal in size. There is no evidence of intracranial hemorrhage or acute infarct. The flow-voids of the major cerebral arteries appear to be intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are unchanged.
No significant interval change in the right medial temporal lobe low-grade glioma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.