PMC3961926_01
The Magnetic resonance imaging of cranium showing Intra axial T2 hyperintense parenchymal lesion in right cerebellum
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F1
T1 hypointense parenchymal lesion in right cerebellum [Figure 1]. The gadolinium contrast revealed ring enhancement and there was restriction on diffusion weighted image [Figures 2a and 2b]. The Magnetic resonance spectroscopy study showed lactate and lipid peak [Figure 3].
The Gadolinium contrast enhanced Magnetic resonance imaging of cranium showing ring enhancement of the same parenchymal lesion
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F2
T1 hypointense parenchymal lesion in right cerebellum [Figure 1]. The gadolinium contrast revealed ring enhancement and there was restriction on diffusion weighted image [Figures 2a and 2b]. The Magnetic resonance spectroscopy study showed lactate and lipid peak [Figure 3].
The same lesion showing restriction on diffusion weighted image
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F3
T1 hypointense parenchymal lesion in right cerebellum [Figure 1]. The gadolinium contrast revealed ring enhancement and there was restriction on diffusion weighted image [Figures 2a and 2b]. The Magnetic resonance spectroscopy study showed lactate and lipid peak [Figure 3].
Magnetic resonance spectroscopy of the lesion showing and lactate and lipid peak
JNSBM-5-170-g004.jpg
PMC3961926_01_JNSBM-5-170-g004.jpg
F4
The microscopic examination of the pus smear demonstrated acid fast bacilli [Figure 4].