There is a 17*22 mm abnormal signal (iso on T1 and low onT2 sequences) solid, avid enhancing mass lesion at the anatomical region of the pineal gland and superior cerebellar cistern with pressure effect on the tectal plate.
Multiple and confluent high signal foci on T2 and FLAIR sequences in the subcortical and periventricular white matter of both cerebral hemispheres (Fazekaskas III) depict microvascular ischemic events.
VP shunt inserted to the trigone of right lateral ventricle with adjacent gliosis also is seen in the right cerebral hemisphere.