He has arthritis and effusion
The reporting radiologist recommended enhanced MRi to evaluate the non-aggressive incidental fibrous cortical defect (red arrow)
The FCD looks like and FCD, but now I see this abnormal enhancing anterior intracortical signal I don’t understand (white arrow shows the faint intracortical lucency in the lateral XR)
There is diffuse smooth dark posterior cortical thickening well distal to the FCD that is not exactly normal, but I don’t know what to think about that
Please tell me what this is so I can sign off the report
Thanks
Hilary
