There is an expansile extra-axial frontal midsaggital lesion with lobular borders, measuring approximately 30 x 36 x 38 mm (AP x LL x CC), straddling the falx cerebri above the frontal sinus, with bone destruction and extracranial propagation. The lesion is isointense to gray matter in almost all sequences, with avid, homogenous postcontrast enhancement.
There are also multiple chronic ischemic lesions with leukoaraiosis.