MRI - Contrast-enhanced MRI Brain
Centered within the right greater than left thalamus/hypothalamus, there are multiple ill-defined punctate and ringlike foci of enhancement with T2 hypointense signal. These areas are surrounded by patchy, minimally expansile T2 hyperintensity throughout the anterior perforated substance, hypothalamus, optic tracts, internal capsules, putamina and ventral thalami.