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Fig. 11 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 11

From: Radiological manifestations and complications of lung and brain in Egyptian COVID-19 patients

Fig. 11

Male patient aged 48 years with recent history of COVID-19 since 3 weeks presented with fever, convulsions, altered consciousness and lethargy. FLAIR and T2WI sequences (A, B) show patchy area of high signal intensity seen at right mid brain, pons, right middle cerebellar peduncle as well as right cerebellar hemisphere. Diffusion images and ADC (C, D) show free diffusion (black arrows). Axial, sagittal and coronal (EG) post-contrast T1 images show multiple ring enhancing lesions at fore-mentioned sites, this together with enhancing nodular meningeal thickening at right cerebello-pontine angle, right ambient cistern, right meckle’s cave and right cavernous sinus (black arrows) … this picture suggestive for post-COVID-19 meningoencephalitis. Axial CT (F) chest cut of the same patient shows bilateral peripheral ground-glass opacities mixed with crazy-paving appearance (severe severity)

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