Headache, disturbed consciousness and memory.
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Irregular shaped ill-defined intra-axial space occupying lesion involving the inferior aspect of left temporooccipital region exhibits heterogeneous enhancement in post contrast study and exerting a positive mass effect upon the temporal horn of left lateral ventricle. Multiple areas of intralesional necrosis are noted.
The patient went on to have surgery which confirmed the diagnosis of glioblastoma.
Note: This case predates the recent (2016) revision WHO classification of CNS tumours and IDH status is not available. As such, this tumour would now be classified as a glioblastoma NOS.