PMC8627974_01
Brain MRI on day 1 of admission showing an acute lacunar infarct with restricted diffusion in the left oculomotor nerve nucleus (red arrow).
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Also on day 1, a brain MRI revealed an acute lacunar infarct with restricted diffusion in the left paramidline midbrain, in the expected position of the oculomotor nerve nucleus (Fig. 2).
Chest CT scan with contrast revealing bilateral micronodules predominantly in the upper lung fields in a "miliary pattern" (coronal view).
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On further testing, a chest CT scan with contrast revealed bilateral numerous tiny miliary nodules of apical predominance, concerning for miliary tuberculosis versus fungal or malignant etiologies (Fig. 3).