PMC6430003_01
Initial brain computed tomography (pre-treatment) showing numerous areas of white matter edema at the gray-white junction within the bilateral hemispheres, as well as in the left cerebellum.
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The initial brain computed tomography (CT) showed numerous areas of white matter edema at the gray-white junction within the bilateral hemispheres, as well as in the left cerebellum (Fig. 1).
Magnetic resonance imaging scan with gadolinium of the brain (pre-treatment) revealing numerous small ring-enhancing masses with targetoid appearance and moderate surrounding vasogenic edema.
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Gadolinium-enhanced magnetic resonance imaging (MRI) revealed numerous small ring-enhancing masses with targetoid appearance and moderate surrounding vasogenic edema (Fig. 2).
Pre-treatment computed tomography of the chest showing extensive lymphadenopathy, with bilateral apical airspace disease with tree-in-bud like appearance.
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Although the CXR was normal, the CT of the chest (Fig. 3) showed extensive lymphadenopathy, with bilateral apical airspace disease with tree-in-bud like appearance.
Post-treatment brain magnetic resonance imaging showing that nearly all of the ring enhancing masses (blue arrows) had decreased in size and markedly decreased surrounding vasogenic edema.
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Follow-up brain MRI with gadolinium five months later showed that nearly all of the previously demonstrated ring enhancing masses had decreased in size and markedly decreased surrounding vasogenic edema (Fig. 4).
Post-treatment computed tomography of the chest revealing partial resolution of the previously seen bronchial and bronchiolar inspissation in both upper lobes.
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In addition, follow-up CT of the chest 2 weeks after initiation of treatment revealed partial resolution of the previously seen bronchial and bronchiolar inspissation in both upper lobes (Fig. 5).