Headache and right sided weakness.
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A large left sided mass with central non-enhancement and peripheral nodular enhancement and restricted diffusion is present surrounded by tumour oedema.
On the right, seen only on the T2/FLAIR images is a temporal region of high T2 signal.
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This patient went on to have a biopsy and debulking 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.