Hi, Thank you for posting your query. I have noted your mother s MRI brain report and her current medications. Levipil (levetiracetam) is an anti-epileptic drug, and if your mother has had seizures/fits, then, she should continue to take levetiracetam. Levetiracetam should be continued for at least three seizure-free years. Levetiracetam is safe and effective for controlling fits. Granuloma in the brain occurs most often due to infections such as neurocysticercosis (tape worm) and tuberculosis (tuberculoma). In your mother s report, it says healed granuloma , so, treatment is required for that. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/