Re evaluate lesion in right middle temporal gyrus. There is an unchanged area of subcortical radial linear high T2 signal in the right middle temporal gyrus with perhaps slight overlying cortical thickening, but no associated enhancement. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There is mild mucosal thickening and suggestion of a small air-fluid level in the right maxillary sinus. The orbits are unchanged.
An unchanged area of signal abnormality in the right middle temporal gyrus may represent focal cortical dysplasia or perhaps a low-grade neoplasm, for example. 