Findings: Abnormal T2 and FLAIR hyperintense signal affecting the left temporal lobe & left insula, showing no diffusion restriction. Focal nonspecific white matter focus seen in the left centrum semiovale without any diffusion restriction. No recent infarction or intracranial hemorrhage is seen. The patient refused IV contrast.
Conclusion: T2 & FLAIR hyperintense signal in the left temporal lobe likely representing postictal changes. Other possible differentials like inflammatory or infectious causes are not excluded and further evaluation with a contrast-enhanced MRI brain is suggested.