PMC8517634_01
LAM TB (upper) and cryptococcal antigen test (lower) results.
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Her serum and cerebrospinal fluid cryptococcal antigen (CrAg) (Immy Inc., Norman, OK) tests were positive (Figure 1). The urine lipoarabinomannan (LAM) was positive (Grade II) (Figure 1).
Anteroposterior chest radiography demonstrated diffuse reticulonodular opacities (nodular> reticular) involving the bilateral hemithorax with background ground glass haziness.
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Chest radiography revealed features of miliary tuberculosis with background ground glass opacities (Figure 2).
Unenhanced computed tomography of brain, (A) axial image at the level of anterior horns of the lateral ventricles demonstrating a large geographic area of hypodensity involving the right frontopareitotemporal cortex. (B) axial image at the level of circle of Wills demonstrating hyperdense middle cerebral artery sign (white arrow) of the M1 segment of the right middle cerebral artery.
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Unenhanced computed tomography of the brain demonstrated a right sided large geographic area of hypodensity (19-25 HU) involving the right frontoparietotemporal cortex in the territory of the right middle cerebral artery with an associated hyperdense middle cerebral artery sign (Figure 3A and B).