MRI
Axial T1
Axial FLAIR
Axial T2
Axial DWI
Sagittal T2
Axial SWI
Axial T1 C+
Axial T1 +C subtraction
Axial T1
Axial ADC
Axial MRS
Right temporal, insular, and frontoparietal deep periventricular/basal ganglia areas of abnormal signal eliciting high signal on T2 & FLAIR WI. The parietotemporal deep periventricular patches show diffusion restriction and areas of mild heterogenous post-contrast enhancement. They exert a positive mass effect in the form of compression of the right lateral ventricle.
MRS showed markedly elevated Choline peak and Cho/Cr ratio, reduced NAA.
Radiological findings are suggestive of high-grade glioma (grade 3 or 4).