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Coronal view of brain MRI showing rim enhancing lesion in left parietal lobe.
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Given the progressive nature of her symptoms, an MRI was performed, which showed a 1.2 cm peripherally enhancing lesion centred in the grey-white matter junction within the left parietal lobe (see Fig. 1, Fig. 2), suspicious for metastatic disease.
Brain biopsy showing yeast like micro-organisms on GMS stain.
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Pathology revealed yeast-like microorganisms (see Fig. 3, Fig. 4) and cultures grew Cryptococcus neoformans.