case_images: PMC4363670_01
case_images: Single small nodular enhancing lesion with discrete central hyposignal (a) not seen on DWI (b). Two ring enhancing lesions (c), with partial restricted diffusion (d). No lesions seen on T1 WI post gad (e) and DWI (f).
case_images: CRIID2015-260640.001.jpg
case_images: PMC4363670_01_CRIID2015-260640.001.jpg
case_images: fig1
case_images: On brain MRI a single round lesion with 7 mm was seen, with perilesional oedema, suggesting tuberculoma (Figures 1(a)-1(b)). Nocardia versusfungal abscesses was hypothesized (Figures 1(c)-1(d)). Reassessment with Brain-MRI showed remaining lesions (Figures 1(e)-1(f)) and abdominal-CT scan showed resolution of adrenal abscess; HIV viral load was on the threshold of detectability (54 cp/mL) as well as HVB viral load (16 UI/mL).