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Multiple altered signal lesions are seen in the right anterior temporal cortex, right thalamus, bilateral cerebellar vermis region, right middle cerebellar peduncle, left frontal periventricular region. Associated coerical thickening with edema noted. The lesions shows variable enhancement form predominantly non-enhancemt with few lesions show ring and nodular enhancement. The largest enhancing lesions measuring approx 2.2 x 1.7 cm at cerebellar vermis, 1.1 x 1.2 cm at right thalamus, 1.0 x 1.1 cm at right anterior temporal region. The lesion at the right thalamus shows ring enhancement. There is moderate perileasional edema seen at both thalamus, right temporal region and cerebellar region bilaterally.