Heterogeneous tumour (largest dimension 35 mm) centred in right body of the corpus callosum, showing a thick rind of enhancement with central necrosis. Adjacent ependymal enhancement involving the frontal horns and the roof of the right trigone. Non-enhancing white matter abnormality extending along the rest of the corpus callosum and superiorly into the right posterior frontal lobe.
Dilatation of the lateral ventricles, particularly right temporal horn. As on CT the mass encroaches the foramen on Monro on the right but is currently patent, with some mass effect to the left also. Minor but definite periventricular hyperintensity around the right temporal horn which in this case represents transependymal CSF shift. Mild sulcal effacement in the right cerebral hemisphere but no transcompartmental herniation.
No other abnormal parenchymal or extra-axial sites of enhancement within scanned limits. The region of left frontal extra-axial calcification on CT does not enhance, with low signal on all sequences, probable small burnt out meningioma.
Right corpus callosal high grade tumour, likely GBM.
Contiguous ependymal extension.
Lateral ventricular hydrocephalus.