case_images: PMC11746083_01
case_images: (A, B) Brain MRI revealed T2-weighted recovery signal hyperintensity in the right frontal lobe cortical and subcortical white matter abnormal signal. (C) The hearing examination of the patient showed moderate sensural sineural hearing loss in both ears. (D) The patient developed erythematous papular lesions on the skin of his back.
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case_images: PMC11746083_02
case_images: (A-C) Brain MRI revealed abnormal bilateral frontotemporal subcortical signals. (D) No enhancement was seen in the abnormal signal lesions.
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case_images: PMC11746083_03
case_images: (A, B) MRI of the spinal cord showed paravertebral body and L5 / S1 vertebral space-S1 vertebral body plane vertebral canal see sheet long T1 long T2 signal shadow. (C, D) Enhancement and uneven enhancement class has spinal membrane thickening and enhancement.
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case_images: f3
case_images: Compared to the previous MRI, the range of abnormal signals in the spinal canal was slightly increased, degree of swelling of the paraspinal soft tissue was increased, and new abnormal signals were detected in the L5 vertebral body ( Figure 3 ).
case_images: PMC11746083_04
case_images: (A, B) Enhanced MRI of the head showed a sheet-like long T1 and slightly long T2 signal in the left temporal lobe, with a slightly higher signal on FLAIR. (C, D) Enhanced MRI of the head showed no significant enhancement on enhanced scan, and obvious thickening of adjacent meninges with enhancement.
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case_images: f4