An irregularly thick wall peripherally ring enhancing intra-axial mass at the left cerebellum with mild degree of vasogenic oedema. Mild effacement of the adjacent forth ventricle, however, no acute obstructive hydrocephalus (no ballooning of the temporal horns of lateral ventricles).
The mass appears to extend into the left cerebellar tonsil resulting in mild tonsillar herniation.
No abnormal leptomeningeal enhancement.
Well-defined hypodensities at right lentiform nucleus and right internal capsule in keeping with old infarcts.