this contrast enhance MRI shows garland like enhancement of the lesion...confirming it to be a glioblastoma multiforme

the precontrast MR sequences reveal a heterogenous intensity lesion involving the left temporal lobe.

the lesion is compressing the adjacent lateral ventricle

there is significant mass effect and midline shift

there is also peri lesional edema.

the mixed intensity appearance wity midline crossing suggested it to be GBM..

the postcontrast sequences confirmed the diagnosis by showing ring enhancement in a garland-like pattern