Left temporal lob intra-axial irregular enhancing mass, which is heterogeneous, containing areas of intrinsic T1 hyperintensity and susceptibility blooming, indicating haemorrhage. Irregular rind of enhancing tissue peripherally, with lack of enhancement centrally. Linear enhancement is also demonstrated lining the occipital horn of the left lateral ventricle, indicative of subependymal spread.
Left ventricular trigone obstruction with dilatation of the left temporal and occipital horns.
MR perfusion shows elevated relative CBV correspond to enhancing tumour. The mass also demonstrates significant diffusion restriction (ADC values <600 x 10^6 mm2/sec). Additionally increased T2 signal change is seen involving the mesial temporal lobe on the right.