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Left and right: Axial T2WI's show abnormal hyperintensity in the mid brain, inferior
portions of the basal ganglia and thalamus, and mesial temporal lobes, bilaterally.
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Left: Axial T2WI demonstrates additional hyperintensities in the medulla.
Middle & right: Coronal T1WI's with gadolinium show marked
enhancement of the basal cisterns.
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Axial T1WI's with gadolinium confirm the marked basal cistern
and meningeal enhancement.
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T1WI's with gadolinium: left = axial cervical spine & right = sagittal thoracic spine.
The images show extensive enhancement of the subarachnoid space.
Key words: mri infection inflammation fungal fungus
Brain & Spine Diagnosis:
Coccidioidomycosis meningitis