Thank you for your query. kindly bear with me while I try to explain the Mri findings based on the anatomy. The brain consists of a Cerebrum ( forebrain), cerebellum ( hind brain), pons/ medulla ( midbrain) Cerebrum is the largest part and has four lobes - frontal , temporal, parietal and occipital. temporal lobe is located above and behind each ear. Each of these lobes ( or the cerebrum as a whole) have an outer layer called the cortex / grey matter and an inner layer of white matter. The grey matter consists of neurons( the functional units of the nervous system) and white matter of the supporting. tissue which nourishes, protects and transmits signals in the brain. During an MRI, emissions in the radio frequency range of the electromagnetic spectrum is absorbed by the body. these pass through different tissues in variable intensities, highlighting the different tissues in the resulting image. When there is an injury, scarring, or change to the tissue, it shows up as a different intensity the report shows such a localized change, approximately the size of a chickpea, in the outer aspect ( cortical area) of the temporal lobe ( above and behind the ear). The report also suggests that this could be either a dysplastic (abnormal alteration of cells) or a glioma ( scar tissue of the brain due to injury). the radiologist favors the glioma possibility. A Glioma could result if the person has had a fall or trauma to the head or anything that results in local injury. these can be a symptomatic for the most part but may cause seizures. development of symptoms of a stroke ( muscle weakness, altered sensorium, seizures, slurred speech), localized twitching or tremors, severe headache, vision disturbances, unexplained vomiting should be immediately reported. based on the medical history and clinical findings, your physician will advice on precautions and follow up scans small vessel ischemic changes ( changes in the small blood vessels due to reduced blood flow) in the frontal, parietal and occipital white matter area ( refer above) has also been reported. this is a common finding in the elderly, hypertensives ,diabetics and those with heart disease which all lead to compromised circulation and an increased risk for stroke. Hope this helps. please get back to is if you have further queries. wish you good health