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There is a 46 x 34 mm homogeneously enhancing mass centred in the right posterior temporal lobe. There is surrounding vasogenic oedema, that extends predominately into the right frontal and temporal lobes but also into the right internal capsule, into the right mid brain, as well as into the hypothalamus and optic chiasm. There is 5 mm midline shift, obstruction of the foramen of Monro, with dilation of the left lateral ventricle, and descending trans-tentorial herniation, that distorts the right cerebral peduncle.
Incidental empty sella. No further abnormal contrast enhancement.