19 years Female (DOB:3/10/1997)Reason: 18-year-old female status post rheumatoid cyst/lesion resection, Yearly follow up , evaluate for changes History: yearly follow upPROVIDER/ATTENDING NAME: DAVID M. FRIM SERVICES ANCILLARY There is encephalomalacia involving the left frontal lobe. The patient status post left frontal craniotomy. No abnormal enhancing lesion is appreciated at the surgical bed to suggest local recurrence.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post left frontal surgery for removal of an epidermoid tumor. There is no evidence for recurrence at this time.