 Again seen is a slightly lobulated somewhat exophytic mass along the posterior aspect of the mesial right temporal lobe, abutting the right cerebral peduncle with mild localized mass-effect and flattening. The lesion demonstrates enhancement and measures 2.0 x 1.2 cm. Again seen is associated deformity of the adjacent right hippocampus. Adjacent vasculature courses along the margins, including the right posterior cerebral artery and the right superior cerebellar artery. The right posterior communicating artery is slightly deviated medially. The lesion extends to the superior margin of Meckel's Cave inferiorly without definite involvement. The ventricles and sulci are within normal limits, with the right lateral ventricle remaining slightly larger than the left. The basal cisterns remain patent. There is no midline shift. No extra-axial fluid is identified.
Previously known right mesial temporal lobe lesion with exophytic pattern of growth demonstrate partial enhancement and suspicious for a neoplasm. 