אבחנת MRI - אודה לעזרתכם

היי, אח שלי גר בארגנטינה וחש לאחרונה בסחרחורות, שלחו אותו לבדיקה בבית חולים בארגנטינה וקיבל את האבחנה המצורפת, מה אתם מבינים מהאבחנה הזו ? : Exam: MRI of the brain with IV contrast Imaging Protocol: Utilizing a Philips Achieva 1.5T scanner, an MRI of the brain was performed with Intravenous Contrast. The precontrast MRI protocol consisted of 3D T1 3D FLAIR, coronal T2 and axial T2, T2* and DWI sequences. After the injection of gadolinium, 3D T1 sequences were performed. Extensive cortical-subcortical lesion of infiltrative aspect in right frontal-temporal-insular topography with extension to the homolateral basal ganglia, thalamus and parietal region. The infiltrative lesion shows no significant enhancement after the IV contrast administration or areas of restricted diffusion. The above-described finding generates a mass effect with effacement of the adjacent sulci, compression and displacement of the supratentorial ventricular system with right predominance that collapses the homolateral temporal horn, midline shift to the left of aprox 10 mm and right uncal herniation with compression and displacement of the mescencephalon to the left. Conclusions: Findings related to a primary neo proliferative lesion of probable glial origin, with mass effect associated, according to the above-described.