AJDRAJNR - American Journal of Neuroradiology

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FIG 1. Tuberculous meningitis with tuberculoma.

A, T2-weighted image through the mesencephalon shows a hyperintense lesion on the left side, along with a hyperintense region with central hypointense specks (arrow) in the right perimesencephalic cistern, merging with the lateral margin of the midbrain.

B, On T1-weighted image, the cisternal lesion appears isointense relative to white matter, with central hypointensity; the left midbrain lesion also appears isointense.

C, MT-SE T1-weighted image shows the left midbrain lesion and the right cisternal lesion as hyperintense, with central hypointensity extending to the remaining margins of the midbrain (arrow).

D, Postcontrast MT-SE T1-weighted image shows these meningeal and parenchymal lesions with marked enhancement.





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