The patient presented with sudden onset mild right sided weakness
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The diffusion weighted images show left deep parietal periventricular light bulb signal which is likely related to the clincial right sided mild weakness. The FLAIR and T2 images show small areas of abnormal signal at the brain stem and left parietal region. MR post contrast series shows multiple enhancing areas. The chest X ray shows miliary lung shadows bilaterally
The chest x ray and laboratory findings strongly suggests the possibility of miliary tuberculosis with CNS tuberculosis.