Multiple discrete intraparenchymal subcortical hemorrhagic foci are demonstrated. Two lesions lie in the right frontal lobe and measure 11x26mm in diameter. An 18mm lesion lies in the right parietal lobe, a 3mm lesion lies in the left occipital lobe, and a tiny focus lies in the left frontal lobe. Assessment of enhancement is difficult given the intrinsic hyperdensity of these lesions, however, there appears to be enhancement of the left frontal lesion and probably the larger of the right frontal lesions. Moderate vasogenic oedema surrounds each foci.
Findings are highly suspicious for hemorrhagic metastatic disease. In patients of this age, melanoma would represent the most common primary. Hemorrhagic metastases related to atrial myxoma are extremely rare, but have been reported.