Where is the abnormality?
Right temporal lobe
What is it like?
Effacement of the temporal horn of the right lateral ventricle and subtle hypodensity within the right temporal lobe
What would you do next?
CT with contrast and MRI
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What are the MRI signal characteristics?
High-signal intensity lesion on FLAIR with significant edema and mass effect. Ring enhancement on post-contrast images
CT-Hypodense lesion in the left temporal lobe .rim enhancement on post contrast.
Mri- Flair — hyperintensity .
Post contrast thick shaggy wall enhancing lesion with perilesional edema.
D/d: tuberculoma
Abscess
Cystic mets
Herpis encephalitis
T1 Hypointense rim enhancing lesion seen in grey- white junction with peri lesional edema seen in right temporal lobe – Giant tuberculoma.
1. Tuberculoma
2. Met and look for primary
Tuberculoma
With no history and other sequences, it’s MAGIC DR.
Tubercluoma versus metastasis.
Tuberculoma
Herpès enchephalitis
Abscess
Cystic Mets