An isolated cerebral fungal granuloma with hemorrhagic transformation

Marked low intensity soft tissue involving the left sphenoid sinus with slightly obscured and a tiny suspicious soft tissue protrusion into the left cavernous sinus region.

An extensive altered signal intensity lesion involving left capsuloganglionic region, thalamus, corona radiata and adjoining body and genu of corpus callosum with blooming on GRE –*suggestive of an isolated cerebral fungal granuloma with hemorrhagic transformation*

Sight narrowing of the left paraclinoid ICA compared to the right – suggesting early angioinvasion.