18 years Male (DOB:8/10/1997)Reason: worsening headaches with history of mass History: headaches with waking upPROVIDER/ATTENDING NAME: CHARLES J MARCUCCILLI CHARLES J MARCUCCILLI There is redemonstration of a lesion along the medial aspect of the right temporal lobe involving the head of the hippocampus, the amygdala and the uncus which continues to regress in size compared to prior exams and is now associated with atrophy of the right hippocampal head currently there is no associated contrast enhancement.Previously noted right hemispheric leptomeningeal enhancement is no longer appreciated. The the left-sided leptomeningeal vessels are more prominent compared to the right side on the current exam.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mild mucosal thickening and mucous retention cyst in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Continued regression of the right medial temporal lobe lesion. This could go along with a treated encephalitis