PMC6243297_01
Unenhanced CT imaging of the brain from initial presentation showing a dense focus of calcification with surrounding low attenuation change.
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CT imaging performed following the initial presentation in August 2013 found foci of dense calcification in the right frontal lobe with adjacent white matter low attenuation changes (Figure 1).
(a, b) Transverse T2 fluid-attenuated inversion-recovery sequence demonstrating confluent T2 weighted hyperintensities restricted to the right cerebral hemisphere.
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MRI in December 2013 revealed confluent periventricular and deep white matter changes in the right cerebral hemisphere (Figure 2a,b).
Transverse susceptibility-weighted MR sequence demonstrating signal dropout corresponding to the focus of calcification but with no evidence of haemorrhage elsewhere.
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This again demonstrated the asymmetric right-sided white matter changes and calcification (Figure 3).
Linear scleroderma resembling a scar from a frontoparietal laceration, more noticeable when the patient's hair was parted.
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This was only visible clinically after the patient's hair had been combed to one side (Figure 4).