case_images: PMC11062765_01
case_images: A contrast-enhanced MRI of the brain shows: (a) FLAIR; lesion: peripheral hyperintensity and central hypointensity. (b) T1W: proximity to the foramen of Monroe; lesion: peripheral hyperintensity and central hypointensity. (c) T2; lesion: peripheral hyperintensity and central isointensity. Peripherally hyperintense with the central hypointensity on FLAIR (d), peripherally hyperintense with the central isointensity on T1W (e), and blooming on T2 (f).
case_images: CRINM2024-5559615.001.jpg
case_images: PMC11062765_01_CRINM2024-5559615.001.jpg
case_images: fig1
case_images: T1-weighted image and exhibits blooming indicating tubers with hyperintense lesions on the T2 sequence, as shown in Figure 1. The lesion was consistent morphologically with a subependymal giant cell astrocytoma in close proximity to the left foramen of Monroe.
case_images: Contrast-enhanced magnetic resonance imaging (MRI) of the brain shows a round to oval enhancing mass lesion (white arrows) arising from the juxtapapillary location of the left globe (a and b); appearing heterogeneously hypointense compared to surrounding media on the T2W image (c). Iso to hypointense on FLAIR (d), mildly hyperintense compared to surrounding media on T1W (e), and blooming foci on T2 (f).
case_images: CRINM2024-5559615.002.jpg
case_images: PMC11062765_01_CRINM2024-5559615.002.jpg
case_images: fig2
case_images: This lesion appears heterogeneously hypointense compared to the surrounding media, as shown in Figure 2.
case_images: CT thorax shows round, thin-walled cystic lesions in the lateral segment of the right middle lobe (A) and the apical-posterior segment of the left upper lobe (B).
case_images: CRINM2024-5559615.003.jpg
case_images: PMC11062765_01_CRINM2024-5559615.003.jpg
case_images: fig3
case_images: Plain (a) and contrast (b) CT abdomen shows a hypo attenuating (average-12 HU on plain CT) mass lesion in the interpolar cortex of the left kidney, with evidence of mild peripheral enhancement.
case_images: CRINM2024-5559615.004.jpg
case_images: PMC11062765_01_CRINM2024-5559615.004.jpg
case_images: fig4
case_images: Figure 4. Furthermore, the USG KUB examination disclosed a solitary hyperechoic round to oval lesion in the interpolar cortex of the left kidney, approximately measuring 12 x 9 mm, displaying internal vascularity, which is highly suggestive of an angiomyolipoma.
case_images: Ultrasonography (USG) of the left kidney: solitary hyperechoic angiomyolipoma (white arrow) in interpolar cortex and bilateral multiple small (2-3 mm) echogenic foci and suspected smaller angiomyolipomas.
case_images: CRINM2024-5559615.005.jpg
case_images: PMC11062765_01_CRINM2024-5559615.005.jpg
case_images: fig5
case_images: Moreover, multiple small (2-3 mm) round to oval variable-sized echogenic foci were observed in the bilateral renal cortices, likely representing smaller angiomyolipomas, as shown in Figure 5.