Biopsy proven CNS lymphoma. Features of this CNS neoplasm are:
- the great majority are diffuse large B-cell, non-Hodgkin lymphomas
- usually supratentorial
- usually hyperdense on CT and showing restricted diffusion on DWI/ADC (high cellularity)
- periventricular and subependymal locations are typical
The involvement of the corpus callosum in this way has a few differentials to be considered: PCNSL, glioblastoma, and metastasis.
Also in this case, a further right extra-axial lesion over the pterion has featured in keeping with a meningioma.