Axial T2 images reveal a high signal mass involving gray and white matter in the left
temporal lobe. The uncus and medial temporal lobe have migrated medially to compress the
midbrain and ambient cisterns.
Additional axial T2 (left) FLAIR (right) images again reveal the large mass involving gray
and white matter, with extension to the insular cortex, external capsule and putamen.
A pre gad coronal (top left) with post gad coronal and axial images demonstrate no clear
enhancement but the low signal center suggests cyst formation. The sylvian fissure and MCA
insular branches are displaced superiorly.
Key words: mri tumor neoplasia