Presentation
Known case of CLL referred with seizures and hemiparesis.
Patient Data
Age: 75 years
Gender: Male
From the case:
Cerebral nocardiosis
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Several lesions with surrounding vasogenic edema are seen in both the cerebral hemispheres. The lesions have a central cystic component without diffusion restriction, and a peripheral rind similar to a cheerio. The peripheral rind shows iso to mildly high T2 signal intensity, diffusion restriction, and linear enhancement of the inner margin.
From the case:
Cerebral nocardiosis
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The CSF culture was positive for Nocardia.
Case Discussion
The patient underwent medical treatment with clinical improvement, on follow up CT, surrounding edema, and the size of the lesions reduced.
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