MRI brain (without contrast)
There a total of 4 supratentorial intra-axial mass lesions demonstrated, scattered throughout bilateral frontal lobes. On T2-weighted imaging, these lesions demonstrate a low signal rims, with marked surrounding FLAIR high signal, in keeping with surrounding oedema. The central content of three of the lesions (two left frontal and one right posterior frontal), demonstrate internally restricting content.
Minimal susceptibility blooming is demonstrated along the posterior margin of the larger left frontal corona radiata lesion, possibly representing inspissated proteinaceous material or blood products.
There is no hydrocephalus and the midline remains central. There is an equivocal punctate focus of restricted diffusion within the middle of the medulla that cannot be well correlated on other sequences, likely artefact-related.
There is a total of four intra-axial lesions - two in each of the frontal lobes. The imaging findings of these lesions are consistent with small abscesses - based on the clinical history, likely fungal.
Minimal thickening of the posterior margin of the left ocular globe may represent infective change, however, clinical/fundoscopic correlation advised.