case_images: PMC11830312_01
case_images: Computed tomography and magnetic resonance imaging of patient with reactivated cerebral toxoplasmosis. Initial CT neuroimaging of patient showed scattered intracranial lesions (1A). MRI found ring enhancement surrounding lesions with similar hemorrhaging pattern (T1-weighted) (1B). Follow-up MRI imaging 1-week post treatment initiation showed innumerable lesions (T1-weighted) (1C).
case_images: gr1.jpg
case_images: PMC11830312_01_gr1.jpg
case_images: fig1
case_images: As her confusion progressed, she reported to the local emergency department mentioned above where computed tomography (CT) imaging of the head showed multiple scattered intracranial lesions with surrounding edema concerning hemorrhagic metastatic malignant lesions (Fig. 1A). Follow-up magnetic resonance imaging (MRI) of the brain (15 days later) showed multiple ring-enhancing parenchymal lesions with edema and similar hemorrhage (Fig. 1B). A repeat MRI of the brain was performed one week after starting therapy which showed a new right internal capsule infarct and innumerable enhancing lesions throughout the brain (Fig. 1C).