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There is confluent T2 / FLAIR hyperintense signal abnormality affecting the corona radiata and the centrum semiovale of the cerebral hemispheres with involvement of the corpus callosum, the right frontal operculum, the hippocampi, to a lesser extent the thalami and the left cerebral peduncle. In the right frontal operculum there is involvement of grey and white matter, and the suggestion of gyral expansion.
Within the centrum semiovale and corpus callosum, there are a number of focal higher T2 / FLAIR hyperintensities with predominantly peripheral irregular enhancement.
There are bilateral confluent T2 hyperintense abnormalities in the cerebral hemisphere with predominantly peripheral irregular areas of contrast enhancement as detailed. Appearance almost certainly represent a multifocal glioblastoma.