Brain MRI at second admission. (a), (b) Axial T1-weighted image with gadolinium, showing a larger mass with peripheral enhancement compared to the original appearance of the lesion as seen in Figure 1. (c) Sagittal T1-weighted image with gadolinium, showing the larger lesion with a more substantial intraparenchymal component. (d) Coronal T1-weighted image with gadolinium also shows the enlarged lesion with greater mass effect.