PMC9937515_01
An inflammatory granuloma on the right temporal side.
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FIG1
Further evaluation with a non-contrast computed tomography (CT) head shows a ring-enhancing lesion in the left temporal region with perifocal edema, an eccentric, and an inflammatory granuloma (Figure 1).
MRI brain with contrast revealing a well-defined rounded discrete lesion seen in the left parietal region as shown in the sagittal (a), trans-axial (b), and coronal (c) sections.
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FIG2
In addition, magnetic resonance imaging (MRI) brain showed a well-defined rounded discrete hyperintense lesion in the left parietal region with mild to moderate vasogenic edema, leading to partial effacement of the adjoining sub-arachnoid space and moderate peripheral rim enhancement (Figure 2).
MR venogram revealing that the left transverse sinus is hypoplastic.
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FIG3
On follow-up after two weeks, an MR venogram revealed that the left transverse sinus was hypoplastic, as shown in Figure 3.
An urticarial, maculopapular eruption, and erythroderma as in arm.
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FIG4
However, on follow-up after two weeks, the patient developed skin rashes, remarkably elevated liver enzymes, and total bilirubin (Figure 4).