PMC4901839_01
(a) An axial contrast enhanced image of preoperative CT brain showing multiple abscesses in the right parietooccipital area. (b) A corresponding postoperative image showing no evidence of residual. (c) Axial noncontrast enhanced CT scan brain at follow-up showing gross hydrocephalus
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F1
An urgent computed tomography (CT) scan of the head showed multiple rings enhancing the left parietooccipital region, with significant surrounding edema and mass effect [Figure 1a]. Repeat CT scans did not show residual or recurrent abscesses [Figure 1b]. CT scan showed hydrocephalus [Figure 1c].
(a) 10x magnification reveal chronic granulomatous inflammation with central neutrophillic debri and multinucleated giant cells. (b) Special periodic acid Schiff staining reveal septate fungal hyphae; 40x magnification
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F2
Microscopic examination revealed granulomas with fugal hyphae [Figure 2a and b].