Case contributed by Utkarsh Kabra
Diagnosis probable



Patient Data

Age: 30 years 
Gender: Male

Limited sequences through the brain show a relatively T2 hypointense lesion in left temporal lobe centered on the grey-white matter junction with surrounding perilesional edema. Spectroscopy through the left temporal lobe lesion shows raised lipid and lactate peaks.


Complimentary HRCT of the chest shows multiple nodular opacities in left upper and lower lobes with multiple fibrotic / atelectatic bands. Pleural thickening / mild pleural effusion is seen. Few small mediastinal and hilar lymph nodes are seen with calcification in left hilar node – findings suggest likelihood of infective etiology, possibly tuberculosis.

Case Discussion

Overall above findings suggest likelihood of tuberculoma in left temporal lobe.

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