PMC9849960_01
Head MRI, chest CT scan, histopathology of lung mass and naked-eye sight of intracranial lesions.. (AB) The left parietal occupying lesion presented long T2 and high Flair signals with surrounding severe edema. Contrast-enhanced MRI T1 sequence showed circular enhancement. (CD) Chest CT scan showed an irregular mass with lobulation, spiculation, pleural invasion located in the left lower lung. (E) Lung biopsy revealed only inflammatory cell infiltrates and fibrin-like exudates, and no cancer cells were found. (F) Jelly-like substance was observed during the left parietal occupying lesion resection (black arrow). (GH) Histopathology of the cerebral mucormycosis showed massive fungal mycelium. (IJ) postoperatively head MRI showed that the lesion was replaced by cerebrospinal fluid and that the peripheral edema was reduced. (KL) Follow-up chest CT in the 6th week after discharge showed that the lung mass was eventually absorbed, leaving some fibrous strips present.
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The head MRI showed a left parietal occupying lesion that presented long T1 and T2 signals with severe edema (Fig. 1. Contrast-enhanced MRI T1 sequence showed circular enhancement considering tumors or abscesses (Fig. 1. CT scan revealed a substantial mass in his left lung with pleural invasion (Fig. 1. CD). Computed tomography-guided needle biopsy of the lung revealed only inflammatory cell infiltrates and fibrin-like exudates, and no cancer cells were found (Fig. 1. During the operation, the lesion was a jelly-like substance (Fig. 1. Many fungal hyphae were found and removed from the left parietal lesion, and pathological examination confirmed intracranial mucormycosis (Fig. 1.GH). A review of the head MRI three weeks postoperatively showed that the lesion was replaced by cerebrospinal fluid and that the peripheral edema was reduced (Fig. 1. Follow-up chest CT in the 6th week after discharge showed that the lung mass was eventually absorbed, leaving some fibrous strips present (Fig. 1.