There is an abnormal poorly enhancing well defined intra-axial lesion in the subcortical white matter of left high parietal lobe. The lesion is seen as hypointense on T1W, hyperintense on T2W and FLAIR, showing no blooming on GRE or restriction on DWI.
No perilesional edema is noted. No evidence of necrosis, hemorrhage or calcification are seen in the lesion. Mild mass effect is seen in the form of effacement the underlying cortical sulci in the parafalcine area.
Mild elevation in choline with decrease in the NAA and creatine levels are seen within the lesion. Increased Choline / Creatine ratio of 2.04 is seen. No lactate/lipid peak is seen.
Imaging and spectoscopic findings are suggestive of low grade glioma.
Incidentally noted a subgaleal sebaceous cyst in the right occipital region.