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case_images: Axial FLAIR sequence showing a right hemi atrophy with enlargement of the right lateral ventricle (White arrow head) and a midline shift (White arrow), Hyperintensity of the subcortical white matter on the effected side (gliotic changes) (Black arrow).
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case_images: Magnetic Resonance Imaging (MRI) investigations revealed cerebral hemi-atrophy affecting the right cerebral hemisphere (Figure 1). Furthermore, signal abnormalities in the subcortical white matter manifested as hyperintensities on T2 and FLAIR sequences, indicative of gliotic changes (Figure 1).
case_images: Coronal T2 of MRI sequence demonstrating an enlargement of the right sulcal spaces (White arrow) and ipsilateral choroidal fissure (Black arrow).
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case_images: This was characterized by the widening of cortical sulci, subarachnoid spaces, and the sylvian fissure (Figure 2).
case_images: Axial T2 sequence of MRI showing a mesencephalon atrophy (Black arrow).
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case_images: Additionally, there was an ipsilateral enlargement of the lateral ventricle (LV) and a midline shift toward the atrophic side as well as a mesencephalon atrophy (Figure 3).
case_images: Axial T2 of MRI sequence demonstrating a calvarial thickening interesting the affected side (Black arrow).
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case_images: The MRI findings also indicated compensatory calvarial hypertrophy (Figure 4) and hyper-pneumatization of the mastoid cells on the affected side (Figure 5).
case_images: Axial T2 sequence of MRI showing hyper-pneumatization of the right mastoid cells (White star).
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case_images: The MRI findings also indicated compensatory calvarial hypertrophy (Figure 4) and hyper-pneumatization of the mastoid cells on the affected side (Figure 5).
case_images: Coronal T2 sequence of MRI showing an elevation of the right petrous ridge (Affected side).
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case_images: The coronal T2 sequence illustrated an elevation of the petrous ridge on the atrophic side (Figure 6).