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I'm not sure if there's much of a difference. I complained of headaches in the left frontal lobe area and after having a CAT scan and MRI, I was told that there was some scar tissue (in my left frontal lobe); but that it was of no consequence and probably from an old injury...WHAT! I knew there was a problem with my brain (I've had it rattled a few times); but the doctors say "nothing to worry about"!!!

Here's a couple of links, which are fairly ambiguous:

http://www.webmd.com/brain/brain-lesions-causes-symptoms-treatments

http://www.wisegeek.com/what-is-scar-tissue.htm

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Q: Difference between lesion and scar tissue?
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