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Fig. 6 | BMC Infectious Diseases

Fig. 6

From: Evolution of neuroimaging findings in angioinvasive cerebral aspergillosis in a pediatric patient with leukemia during long-term observation

Fig. 6

(the Brain MRI Without and with contrast, day 21). A-T Multiple varying size ring-like enhancing lesions within the different parts of the white matter of both cerebral and cerebellar hemispheres (some of them representing mentioned hypodense lesion within the previous CT SCAN) suggestive of multiple abscess formation. Sign of significant enhancement of ependymal layer of trigone, occipital and temporal horns of left and lesser degree right lateral ventricles is seen as suggestive of ventriculitis. Sign of marked dilatation of lateral ventricles (including temporal horns) as well as third and fourth ventricles and also aqueduct of Sylvius and foramen Magendie, all suggestive of communicating type of hydrocephalus (which is most likely secondary to the previous intraventricular hemorrhage and also ventriculitis, obstructing pores of subarachnoid spaces). LV: lateral ventricle, TH: temporal horn of lateral ventricle, TV: third ventricle, FV: fourth ventricle, AS: aqueduct of Sylvius, FM: foramen Magendie

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