 There is a redemonstration of expansile infiltrative high T2 signal in the right insula, right basal ganglia and infiltrates into the right parietal, temporal, and frontal lobes without enhancement. Gray white differentiation has been lost and overlying gyri appear to be effaced.There is no evidence of abnormal contrast enhancement.There is minimal effacement of the right lateral ventricle and the minimal midline shift to the left, no changes in the previous study.
Preoperative planning MRI demonstrates infiltrative intra axial lesion involving multiple lobes of the right cerebral hemisphere, which is suggestive of gliomatosis cerebri.