Pre and post-contrast CT brain
Findings:
Large lesion in the right temporal lobe with a heterogeneous slightly hyperdense lobulated mass associated with a rounded well-circumscribed low attenuation component in the posterior superior aspect.
Moderate enhancement after administering IV contrast.
Associated white matter oedema, although the amount of associated oedema is less that what would be expected for a tumour this size.
Positive mass effect: near complete effacement of the right lateral ventricle, contralateral midline shift of 3mm with subfalcine herniation
No overlying bony permeative change.