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Known glioblastoma in the white matter of the posterior left frontal and left parietal lobes demonstrates marked increase in the degree of related intra-axial enhancement compared to the previous study (not shown).
Patchy enhancement extends from the medial margin of the lesion into the splenium of the corpus callosum where it is associated with fairly low in ADC values, tumoral trace on spectroscopy and markedly increased relative cerebral blood volume.
The mass is surrounded by extensive vasogenic oedema extending into the left frontal and left parietal white matter as well as the insula and posterior limb left internal capsule.
Conclusion: Progression of high-grade tumour.