On the T1 weighted images, the haematoma is demonstrated the right frontal lobe (superior frontal gyrus) with extension into the right parafalcine subdural space. Post-contrast images demonstrates a thin rim of enhancement surrounding this haematoma. In addition, there is a larger component is seen anterior to the haemorrhage which also demonstrates contrast enhancement. This area of enhancement abuts the right falx and laterally, there is a satellite nodule of enhancement.
There is susceptibility artefact related to the haemorrhage. No other focus of cortical cyst to the artefact is detected. Adjacent increased T2 hyper intensity which affects the right frontal and parietal lobes.
Diffusion weighted images demonstrates diffusion restriction of the hematoma itself. The enhancing component is not demonstrate diffusion restriction. Time of flight MRA (not shown) did not cover the region of hemorrhage.
Conclusion: Right frontal haemorrhage. There is likely underlying lesion, morphology consistent with a glial series tumour (most likely high grade). Metastasis cannot be entirely excluded. High grade stenosis of the left extracranial internal carotid artery.