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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Multifocal glioblastoma multiform with “encephalitis-like presentation” : a case report

Fig. 2

MRI brain scan with contrast and MR perfusion showing bilateral temporal lobe lesions that are hypointese on T1 with Gad-enhancing irregular margins (a indicates “axial” and d indicates “coronal”), with heterogeneous signal intensity on T2 (e indicates “coronal”) and FLAIR (b indicates “axial”). The lesions were surrounded with massive vasogenic edema that exerted a mass effect on the ipsilateral ventricle and resulted in midline shift. ADC (c and f) and SWI (i) revealed restricted diffusion. The lesions showed high rCBV on MR perfusion (g and h) with infiltrations into the surrounding tissue

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