PMC4395949_01
Magnetic resonance imaging of brain showing large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hyperintense on flair image
JPN-10-55-g001.jpg
PMC4395949_01_JPN-10-55-g001.jpg
F1
Magnetic resonance imaging (MRI) of brain [Figures 1 and 2] showed large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hypointense on T1-weighted, hyperintense on T2-weighted/flair images and postgadolinium images showing incomplete ring enhancement which is open towards the gray matter.
Magnetic resonance imaging of brain with gadolinium showing incomplete ring enhancement which is open towards the gray matter
JPN-10-55-g002.jpg
PMC4395949_01_JPN-10-55-g002.jpg
F2
Magnetic resonance imaging (MRI) of brain [Figures 1 and 2] showed large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hypointense on T1-weighted, hyperintense on T2-weighted/flair images and postgadolinium images showing incomplete ring enhancement which is open towards the gray matter.
Magnetic resonance spectroscopy showing abnormally elevated choline and mildly decreased creatine, with increased choline creatine ratio. N-acetyl aspartate peak was mildly reduced with abnormal lactate doublet on long TE spectrum
JPN-10-55-g003.jpg
PMC4395949_01_JPN-10-55-g003.jpg
F3
Magnetic resonance spectroscopy (MRS) [Figure 3] revealed abnormally elevated choline and mildly decreased creatine, with increased choline creatine ratio.
Magnetic resonance imaging brain showing circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense flair images along with encephalomalacia and gliosis in left high parietal region
JPN-10-55-g004.jpg
PMC4395949_01_JPN-10-55-g004.jpg
F4
In view of her history of TD we went ahead directly with brain imaging [Figures 4 and 5], which revealed circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense T2-weighted/flair images and incomplete ring on diffusion weighted images, along with encephalomalacia and gliosis in left high parietal region.
Magnetic resonance imaging brain showing incomplete ring on diffusion weighted image
JPN-10-55-g005.jpg
PMC4395949_01_JPN-10-55-g005.jpg
F5
In view of her history of TD we went ahead directly with brain imaging [Figures 4 and 5], which revealed circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense T2-weighted/flair images and incomplete ring on diffusion weighted images, along with encephalomalacia and gliosis in left high parietal region.