There is an oval extra-axial expansive lesion in the posterior cranial fossa, adjacent to the posterior lobe of the right cerebellar hemisphere, with mild compressive effect to the adjacent parenchyma. The lesion is isointense on T1W, T2W, and FLAIR, with intensive homogeneous post-contrast signal intensity enhancement.
There are also multiple punctiform and lacunar old ischemic lesions suporatentorialy and also in the pons on the left, with massive periventricular ischemic leukoencephalopathy.