The patient lost to follow-up and 5 months later presented in our hospital emergency department with a history of seizures and slurred speech for 1 day.
Findings: Mildly enlarged left temporal lobe with a thickened and mildly hyperdense periphery and central hypodensity. The possibility of encephalitis, acute stroke, or an underlying mass lesion needs to be excluded. A few small cortical and subcortical hyper densities, suggestive of recent bleeds are seen in the left temporal lobe. Mild left-sided uncal herniation and minimal mass effect over the left lateral ventricle are noted; however, no significant midline shift is sen.