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Brain MRI demonstrates bilateral thalamic mass, predominant on the right thalamus, showing a high signal on T2 and FLAIR, an important mass effect on adjacent structures.
Echo Gradient T2 shows no calcifications or bleeding within the mass.
No enhancement is noted after Gadolinium Chelate intravenous administration. rCBV is at 1.2
MRS demonstrates elevation of the Choline, Creatine and Choline:creatine ratio and persistence of Myo-inositol spike.