Case of May 2011

Clinical History:

A 58 year-old Chinese lady presented with vomiting, fluctuating mental status and on-and-off fever for 2 weeks. Physical examination did not reveal any neurological deficit. CT and MRI of the brain were performed.

                   Axial plain CT brain                                  Axial plain CT brain

                T2W axial MRI brain                   T1 post-Gadolinium axial MRI brain

  T1 post-Gadolinium axial MRI brain         T1 post-Gadolinium axial MRI brain