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MRI findings were: Multiple hyper signal lesions in periventricular and subcortical with involvement of subcortical Mfibers in parietal lobe, preserving basal gangelia, thalamus and corpus callosum, the possibility of demyelinating disease should be considered
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Brain MRI which was done (Figure 1) and the patient was referred to rheumatologist for more evaluation.
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Chest computed tomography showed right side pleural effusion
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Chest CT scan was done and right sided pleural effusion with multiple small nodules in right lung parenchyma was seen (Figure 2).
Abdominopelvic computed tomography showed hypo dense areas suggestive for kidney infarction
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U/A and CBC revealed hematuria and leukocytosis (WBC=17500) and abdominopelvic CT scan findings were infracted zones in both kidneys, suggestive for systemic vasculitis or embolic process (Figure 3).
Brain MRI showed a hyper signal lesion in left hemisphere of cerebellum
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This time Brain MRI revealed evidence of one hyper signal lesion in left hemisphere of cerebellum (Figure 4).
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