Medicine

A 62 years old woman presented with acute onset confusion and bumping into th ings. On examination, she was ale, oriented with fluent speech and normal comprehension. Fuher examination revealed impaired writing (acalculia), right-left confusion, impaired arithmetic abilities, difficulty in finger identification. MRI demonstrated foci of coical and sub coical increase T2 signals and areas of leptomeningeal enhancement. Most likely diagnosis: