PMC4363670_01
Single small nodular enhancing lesion with discrete central hyposignal (a) not seen on DWI (b). Two ring enhancing lesions (c), with partial restricted diffusion (d). No lesions seen on T1 WI post gad (e) and DWI (f).
CRIID2015-260640.001.jpg
PMC4363670_01_CRIID2015-260640.001.jpg
fig1
On brain MRI a single round lesion with 7 mm was seen, with perilesional oedema, suggesting tuberculoma (Figures 1(a)-1(b)). Nocardia versusfungal abscesses was hypothesized (Figures 1(c)-1(d)). Reassessment with Brain-MRI showed remaining lesions (Figures 1(e)-1(f)) and abdominal-CT scan showed resolution of adrenal abscess; HIV viral load was on the threshold of detectability (54 cp/mL) as well as HVB viral load (16 UI/mL).