PMC3263546_01
CT head: left temporal lobe hypodensity with a discrete area of hemorrhage.
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fig1
A CT scan of the head showed left temporal lobe hypodensity, 8.3 centimeters in greatest diameter, with areas of hemorrhage within mesial left temporal lobe (see Figure 1).
MRI T2 FLAIR: hyperintensity of lesions on T2.
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fig2
MRI of the brain was obtained, showing a large lesion of the left temporal lobe with extension to the frontal lobe and noncontiguous ill-defined lesions of the right temporal lobe (see Figure 2).
MR spectroscopy: choline peak (as indicated by arrow) at the level of the medial left temporal lobe.
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fig3
MR spectroscopy demonstrated an increased choline peak at the level of the medial left temporal lobe, suggestive of neoplastic disease (see Figure 3).
Pathology: HSV positive nuclei.
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fig4
Pathology revealed HSV positive nuclei in the cortex and subcortical white matter (see Figure 4).