MRI
Axial T1
Axial T1 C+
Axial T2
Axial FLAIR
Axial DWI
Axial ADC
Axial T1 C+
Sagittal T1
Axial Echo planar
CBV
MRS
There are multiple intra-axial heterogeneously enhancing lesions the right cerebellar hemisphere:
- Right inferior frontal gyrus opercular region. This lesion extends to involve the cortex and possibly the leptomeninges. Increased CBV.
- Right thalamic hemorrhagic lesion protruding into the body of the right lateral ventricle, with predominantly acute stage blood product.
- Right frontal deep white matter extending into the body of the corpus callosum. MRS- inc Cho. Increased CBV. Shows low ADC values suggesting high cellularity.
Moderately extensive confluent white matter bright FLAIR/T2 signal around these lesions, with 1 cm midline shift of the septum pellucidum to the left. Right uncal herniation with right cerebral peduncle compression.