There are multiple T2 and T2 flair hyperintense foci within the dentate nuclei, pons, middle cerebellar peduncles, midbrain including cerebral peduncles, and basal ganglia (globi pallidi). There is a mild increased T2 and T2 flair signal within the hippocampi and thalami additionally. There is no associated mass effect and no enhancement. ADC mapping is negative and confirms shine through relating to the T2 and T2 flair high signal intensity foci with no evidence of acute infarction or acute demyelination
There is ring enhancement within the fourth ventricle.
MRI brain is otherwise normal.