Male, 82 years old, with multiple brain lesions presented with weakness, preoperative planning examination for biopsy. Nodular masslike lesions are redemonstrated including a solidly enhancing lesion centered on the left cingulate gyrus, and a minimally enhancing lesion centered on the right posterior limb of the internal capsule. Diffuse thickening of the splenium corpus callosum is also redemonstrated without significant associated enhancement.Scattered nonspecific foci of parenchymal T2 hyperintensity are seen. The ventricles and sulci are proportionately prominent compatible with underlying parenchymal volume loss. A cyst of the cavum vergae or vellum interpositum is seen. Atrophy or encephalomalacia of the left anterior temporal lobe is suspected.
Redemonstration of multiple brain lesions for surgical planning purposes.