A 12 year old adolescent presented with refractory seizures and was found to have a mesial temporal lobe lesion. The patient underwent biopsy and was diagnosed with an arteriorvenous malformation. Supratentorial lesions in the pediatric population can have a large variety of underlying etiologies and it can challenging to differentiate on neuroimaging. https://www.spidertattooz.com/Fanimation-MAD8514-TriAire-52-Indoor-Outdoor-Ceiling-Fan/