Background:This study aimed to examine and pinpoint distinctive alterations in multiple ring-enhancing lesions within the brain using conventional MRI and proton MR spectroscopy. The objective was to facilitate early diagnosis, treatment, response assessment, and reduce complications in patients with such lesions.Methods:his descriptive study involved 100 patients clinically suspected of having ring-enhancing lesions. These patients were referred to the Department of Radiodiagnosis and underwent scanning using a 1.5 Tesla MRI over a span of two years.Results:Among the 100 patients examined, the diagnoses were distributed as follows: 38 cases of neurocysticercosis, 32 cases of tuberculomas, 16 cases of intracranial abscess, 8 cases of metastasis, 6 cases of primary brain neoplasms, and 2 cases of tumefactive demyelination. Notably, neurocysticercosis emerged as the most prevalent pathology, with seizures being the predominant complaint among patients.Conclusion:Among the 100 patients examined, the diagnoses were distributed as follows: 38 cases of neurocysticercosis, 32 cases of tuberculomas, 16 cases of intracranial abscess, 8 cases of metastasis, 6 cases of primary brain neoplasms, and 2 cases of tumefactive demyelination. Notably, neurocysticercosis emerged as the most prevalent pathology, with seizures being the predominant complaint among patients.