A well-defined lobulated markedly T2W hyperintense lesion noted in the left medial temporal lobe and posterior perisylvian region with following details;
- No restriction diffusion noted on DWI/ADC map sequences. No enhancement noted on post contrast images.
- The central areas of this lesion are suppressed on FLAIR images. Peripheral FLAIR hyperintense rim noted.
- No areas of hemorrhage and calcifications noted within.
- No perilesional edema noted. No mass effect noted.
- MR spectroscopy shows lipid and lactate peak. No significant elevation of choline / reduction in NAA.
- MR perfusion images show reduced cerebral blood flow in the tumor compared to contralateral neuroparenchyma.