Malignant neoplasm of endometrium. There are numerous supratentorial and infratentorial peripherally enhancing lesions predominate at the gray-white matter interface suspicious for metastatic disease. Several of these lesions demonstrate intrinsic T1 shortening angriness susceptibility likely related to hemorrhage. The largest lesion is located in the right cerebellum measuring up to 3.4 cm. There is significant surrounding vasogenic edema and mass effect compressing the fourth ventricle and brainstem anteriorly with associated cerebellar herniation. The largest supratentorial lesion is located in the right posterior temporal lobe. This lesion creates significant surrounding Visigenic edema and mass effect. There is associated 5 mm left of midline shift and mild right uncal herniation. There is deformity of the right lateral ventricle with mild prominence of the temporal horn of the left lateral ventricle. There is an empty sella.
1. There are numerous hemorrhagic supratentorial and infratentorial metastases with significant mass effect/edema and associated cerebellar tonsillar herniation, right uncal herniation, and mild subfalcine herniation.2. There is compression of the fourth ventricle with mild prominence of the temporal horn of the left lateral ventricle.