Large lesion measuring up to 45mm located in the right occipital lobe. Intrinsic areas of increased T1 signal consistent with haemorrhage. It is abutting the medial aspect of the right transverse sinus and torcula but no evidence of extension into the dural venous sinuses. There is intrinsic and peripheral enhancement especially at the inferior aspect close to the tentorium cerebelli. Extensive surrounding oedema with increased T2/FLAIR signal.
Occipital horn of the right lateral ventricle is compressed. Remaining ventricles remain patent and no hydrocephalus.
Conclusion: Large haemorrhagic lesion in the right occipital lobe with appearance consistent with high grade glioma or haemorrhagic metastasis.