MRI brain (3T - TLE protocol)
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Multiplanar, multisequence imaging has been obtained through the brain including whole brain and dedicated temporal lobe / hippocampus coronal sequences on the 3T scanner. End of history of previous malignancy, volumetric post contrast T1 acquisition was also performed.
A few tiny T2 hyperintense white matter foci within the range of normal for age. No diffusion restriction or susceptibility artefact. In the left midbrain, circumscribed CSF signal foci traversed by linear structures have a location appearance typical of prominent perivascular space rather than lesion.
No intra or extra-axial mass or pathological contrast enhancement.
The grey-white matter junction and appearance of the cortex is unremarkable, with no evidence of cortical dysplasia or grey matter heterotopia.
The mesial temporal lobes, including the hippocampi, are unremarkable in size and morphology, allowing for subtle movement artefact on the coronal T2 sequence.
No evidence of intracranial metastatic disease or epileptogenic focus.