Presentation
Headache and vertigo.
Patient Data
Age: 45 years
Gender: Female
From the case:
Anterior temporal lobe perivascular space
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Cystic lesion, measuring approx. 7.5 x 5.5 x 6.7mm (AP x TD x CC) in left anterior temporal lobe with mild perilesional edema.
Suspicious curvilinear hyperintensities are seen along convexity sulci of bilateral parietooccipital lobes, possibly artifactual. However, contrast enhanced MRI (not performed) would be more informative to completely rule out meningitis.
Case Discussion
This is a typical anterior temporal lobe perivascular space on left side with mild perilesional edema and should not be mistaken for a tumor or abscess.