 Redemonstrated is nonenhancing T2/FLAIR hyperintense lesion with gyral thickening involving the left medial and anterior temporal lobe including the amygdala and extending to the insular cortex. Asymmetric T2/FLAIR hyperintensity is also noted involving the left posterior frontal corona radiata extending towards the posterior limb of the internal capsule and similar to prior. There is no new mass effect. There is an unchanged left thalamic developmental venous anomaly and adjacent T1 shortening and enhancement. Unchanged small focus of T2/FLAIR hyperintensity involving the left parietal subcortical white matter related to prior ischemia. Additional scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter are nonspecific but compatible with small vessel ischemic and/or posttreatment changes. There is no evidence of acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No significant change in appearance of the infiltrating neoplasm involving the medial and anterior left temporal lobe as well as the insular cortex dating back to 12/19/2014.