When compared to the previous MRI brain the 12 mm cystic lesion in the inferomedial aspect of the left anterior temporal pole with surrounding flair hyperintense focus of cortical expansion has not increased in size. It demonstrates minimal choline elevation with no NAA depression or lactate peak on spectroscopy. No cerebral blood volume (CBV) increase. No diffusion restriction. On the post contrast sequences there is impression of enhancement, however this region does contain phase artefact related to the skull base vessels.
Remainder the brain is within expected limits.