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The Clinical Picture

Ring-enhancing cerebral lesions

Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037
Aram Barbaryan
Department of Medicine, HSHS Saint Mary’s Hospital, Decatur, IL
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  • For correspondence: [email protected]
Jignesh Modi
Department of Infectious Disease, HSHS Saint Mary’s Hospital, Decatur, IL
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Wajih Raqeem
Department of Medicine, HSHS Saint Mary’s Hospital, Decatur, IL
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Michael I. Choi
Department of Pathology, HSHS Saint Mary’s Hospital, Decatur, IL
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Alan Frigy
Department of Pathology, HSHS Saint Mary’s Hospital, Decatur, IL
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Aibek E. Mirrakhimov
Department of Medicine, University of Kentucky School of Medicine, Lexington, KY
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    FIGURE 1

    (A) Axial contrast-enhanced T1-weighted magnetic resonance imaging showed ring-enhancing lesions (white arrows), while (B) axial T2-weighted images showed ring-enhancing lesions surrounding hyperintensity, consistent with vasogenic edema (white arrows).

  • FIGURE 2
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    FIGURE 2

    Partially organizing central nervous system abscess showing necrosis with acute inflammatory cells (1), fibrosis with acute and chronic inflammatory cells (2), and the normal-appearing brain tissue (3) (hematoxylin and eosin, × 4).

  • FIGURE 3
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    FIGURE 3

    Grocott-Gomori methenamine silver staining of a biopsy specimen of a right frontal brain lesion showed budding yeast forms, consistent with Histoplasma capsulatum (× 100).

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Cleveland Clinic Journal of Medicine: 84 (2)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 2
1 Feb 2017
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Ring-enhancing cerebral lesions
Aram Barbaryan, Jignesh Modi, Wajih Raqeem, Michael I. Choi, Alan Frigy, Aibek E. Mirrakhimov
Cleveland Clinic Journal of Medicine Feb 2017, 84 (2) 104-110; DOI: 10.3949/ccjm.84a.16037

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Ring-enhancing cerebral lesions
Aram Barbaryan, Jignesh Modi, Wajih Raqeem, Michael I. Choi, Alan Frigy, Aibek E. Mirrakhimov
Cleveland Clinic Journal of Medicine Feb 2017, 84 (2) 104-110; DOI: 10.3949/ccjm.84a.16037
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