Multiple enhancing intra-axial masses in both cerebral hemispheres. All are located close to the grey-white matter interface. All of the lesions located in the left or right frontal lobe except for the largest, which is only right anterior temporal lobe. This measures 2.4 x 2.3 x 2.7 cm.
There is slightly increased diffusion restriction relative to normal brain parenchyma in most of the lesions.
There is vasogenic oedema surrounding all of the lesions. This is particularly marked in the right anterior temporal mass, where vasogenic oedema involves almost the entire right temporal lobe, and extends into the insula, basal ganglia, right cerebral peduncle, and right midbrain.
There is marked mass-effect with global sulcal effacement in the right hemisphere, almost complete effacement of the right lateral ventricle, right uncal herniation, compression of the right cerebral peduncle and midbrain, and 9 mm of midline shift to left.
No abnormal susceptibility related signal loss.
Conclusion: Appearance compatible with multiple cerebral metastases including lymphoma. Extensive vasogenic oedema and mass-effect.