GIANT tumefactive VR spaces

Multiple non-enhancing cystic lesions involving right thalamus, adjoining capsuloganglionic region ( CSF intensity on all sequences ) without perilesional edema – likely suggestive of atypical Giant tumefactive perivascular spaces ( giant VR spaces).

Differential considerations also include:- cystic neoplasm or an abscess or cryptococcal meningitis

Mild right thalamic expansion indenting the third ventricle due to mass effect. No evidence of significant midline shift in this study.

Mild communicating hydrocephalus without leptomeningeal enhancement.

Recommend clinical correlation, immune status evaluation,further evaluation, follow up