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FIG 6. 58-year-old woman after heart transplantation presented with obtundation and an unresponsive left pupil. Hemorrhagic lesions are seen on unenhanced CT scan in the left caudate head (small arrow) and right frontal lobe (large arrow). Aspergillosis was proved at autopsy.
FIG 7. 43-year-old man after bone marrow transplantation for acute myelogenous leukemia, presented with mental status decline.
A, Axial fast spin-echo T1-weighted (600/12eff /2) MR image with contrast shows minimal punctate enhancement (arrows). There was no evidence of hemorrhage on an unenhanced T1-weighted MR image (not shown).
B, The hemispheric white matter lesions are conspicuously hyperintense (arrows) with fast spin-echo T2-weighting (2200/84eff /1). The patient died 2 days later. At autopsy, these lesions consisted of hemorrhagic, necrotizing encephalitis with numerous branching hyphae.
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