PMC7649621_01
(A) Axial T1 Head MRI showed an isointense lesion with perifocal brain edema in the right frontoparietal cortex, (B) forming ring-ehanced lesion upon gadolinium administration displayed on axial and (C) sagittal view. (D) T2 axial and (E) sagittal MRI demonstrated hyperintense lesion with surrounding focal brain edema on the same location. (F) gross examination of sectioned tissue revealed glistening cystic lesion (G) microscopic examination demonstrated T.solium larvae complete with its sucker (arrow), surrounded by suppurative inflammatory reaction (100x magnification). (H) A follow-up non-contrast axial head CT scan one month after surgery showed focal hypodense lesion in the post-resected area, suggesting encephalomalacia (arrow) with post-surgical cranial bone defect (arrowhead).
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Head MRI was done and an isointense lesion sized 2 x 1.6 x 1.5 cm with surrounding focal brain edema in the right frontoparietal cortex was apparent on axial T1 MRI (Fig. 1A), and subsequent gadolinium resulted in the appearance of a rim-enhanced lesion (Fig. 1B, C). Axial T2 MRI demonstrated hyperintensity on the same area (Fig. 1D and E). Furthermore, there were multiple cycstic segments containing larva of tapeworm (Fig. 1F and G).