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Figure 1: (A) CECT Head (Axial) showing conglomerate peripherally enhancing lesions in the region of the vermis, largest measuring 14.7 X 16.2 mm in size and causing mass effect on the fourth ventricle suggestive of tuberculomas (B) CEMRI Brain (Axial) showing a well defined smooth walled oval lesion measuring 15x 13 x 12 mm in size, appearing hyperintense on FLAIR with hypointense rim in left frontal lobe. The lesion showed restricted diffusion in its peripheral part with thick ring enhancement on post contrast scans. Moderate perilesional edema was also noted suggestive of tubercular granulomatous lesion with abscess formation (C) CEMRI brain (sagittal) showing few small T2 hypointense conglomerate lesions in left temporal lobe with post-contrast ring enhancement and moderate perilesional edema. No restricted diffusion noted on diffusion restriction imaging and subtle blooming on gradient recalled echo images. On magnetic resonance spectroscopy, choline/creatinine 2.38 with mildly elevated lipid peak suggestive of tuberculomas. (D) CECT head (axial) showing basal exudates with ring-enhancing lesion (13×12mm in size) in right frontal region along with noncommunicating hydrocephalus suggestive of tubercular meningitis with tuberculoma in right frontal region

Figure 1: (A) CECT Head (Axial) showing conglomerate peripherally enhancing lesions in the region of the vermis, largest measuring 14.7 X 16.2 mm in size and causing mass effect on the fourth ventricle suggestive of tuberculomas (B) CEMRI Brain (Axial) showing a well defined smooth walled oval lesion measuring 15x 13 x 12 mm in size, appearing hyperintense on FLAIR with hypointense rim in left frontal lobe. The lesion showed restricted diffusion in its peripheral part with thick ring enhancement on post contrast scans. Moderate perilesional edema was also noted suggestive of tubercular granulomatous lesion with abscess formation (C) CEMRI brain (sagittal) showing few small T2 hypointense conglomerate lesions in left temporal lobe with post-contrast ring enhancement and moderate perilesional edema. No restricted diffusion noted on diffusion restriction imaging and subtle blooming on gradient recalled echo images. On magnetic resonance spectroscopy, choline/creatinine 2.38 with mildly elevated lipid peak suggestive of tuberculomas. (D) CECT head (axial) showing basal exudates with ring-enhancing lesion (13×12mm in size) in right frontal region along with noncommunicating hydrocephalus suggestive of tubercular meningitis with tuberculoma in right frontal region