There are multiple non-enhancing cystic lesions of various sizes that are isointense to CSF on T1 and T2/FLAIR with discrete, eccentric hyperintense nodules (cyst with dot sign) involving the bilateral cerebral and cerebellar hemisphere striking “salt and pepper brain” appearance. There is no evidence of perilesional edema.
There is asymmetrical dilation of the left ambient cistern with cystic lesion and scolex within, and multiple cystic lesions with scolex also seen in the right Sylvian fissure and the bilateral cortical sulci.
Bilateral lateral ventricles, third and fourth ventricle are dilated with periventricular signal intensities.