PMC10336214_01
(A-D) MRI of the patient's brain, multiple lesions in the bilateral frontoparieto-occipitotemporal lobe and left basal ganglia region: (A) T2 weighted image; (B) Diffusion Weighted Imaging (DWI); (C) Apparent Diffusion Coefficient (ADC); (D) Fluidattenuated Inversion Recovery (FLAIR). (E) Changes in hemoglobin, platelets and creatinine from day 1 to day 7, with the arrows referring to the time of plasma exchange therapy. (F) HRCT of the patient's chest at the time of admission. (G) Chest HRCT on day 7.
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Enhanced MRI of the head suggested reversible posterior leukoencephalopathy (RPLS) ( Figures 1A-D ). Chest CT indicated exudation in both lungs ( Figure 1F ). The hemoglobin and platelets gradually increased and creatinine decreased ( Figure 1E ). The chest CT showed that the exudate in both lungs was significantly absorbed ( Figure 1G ).