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The study reveals multiple focal and conglomerate peripheral rim enhancing lesions with hypointense center on T2w images and mild to moderate perilesional oedema in bilateral cerebellar hemispheres, right frontal, bilateral occipital and left posterior parietal lobes. There is mild mass effect on leftlateral aspects of 4th ventricle. Subtle leptomeningeal enhancement seen at places.
Spectroscopy through the cerebellar lesions show elevated lipid lactate peaks.