35mm x 21mm x 16 mm solitary enhancing right cerebellar hemisphere lesion is identified. This contains focal internal T2 hyperintense lesions with intrinsic high T1 signal and signal loss on gradient sequences likely representing blood product (not shown).
There is moderate surrounding vasogenic oedema and effacement of the local sulci.
Arachnoid cyst in left middle cranial fossa. Generalised cerebral volume loss.
Multiple T2/FLAIR hyperintense foci are seen throughout the subcortical white matter, particularly in a periventricular location consistent with chronic small vessel ischaemic change.