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Fig. 8 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 8

From: Role of magnetic resonance imaging in characterization of central nervous system lesions in pediatric patients with leukemia and post-treatment complications

Fig. 8

Multiple intra axial fungomas. Male patient, 8 years old, diagnosed with AML at presentation. Axial MRI of the brain: a Axial T1TW, b, c axial FLAIR images showing left fronto-temporal intra-axial cortical-based SOL elicit intermediate signal in T1WI and Low FLAIR signal with rim of surrounding edema elicits high FLAIR signal. c Image shows other similar smaller lesions seen at both frontal and temporal regions. d Axial T2*, e axial DWI, and f axial ADC show blooming of the center of the lesions seen at T2* gradient image (d) with marginal diffusion restriction in DWI (e) and ADC map (f). The low signal in the center of the lesion may be corresponding to ferromagnetic fungal deposits (iron, manganese, magnesium, zinc). g Axial T1 post-contrast MRI. h Coronal post-contrast MRI of the same patient shows heterogeneous peripheral enhancement of the lesions

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