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病例 #24

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患者信息: 34 岁, 女性
检查指征: 头痛,HIV/AIDS病史

影像所见

CT

  • 右侧顶枕叶白质血管源性水肿,伴极少对应占位效应

MRI

  • 右侧枕叶环形强化病灶,大小约1.7 x 1.3 x 1 cm,周围血管源性水肿,伴极少局部占位效应
  • 病灶中央少量弥散受限,病灶周围水肿区域边缘可见微弱的弥散受限环

带注释的图像和插图

Peripherally-enhancing lesion in the right occipital lobe (red arrow) with surrounding vasogenic edema.

Peripherally-enhancing lesion in the right occipital lobe (red arrow) with surrounding vasogenic edema.

Faint corresponding central restricted diffusion (red arrow) as well as faint restricted diffusion along the periphery of the surrounding vasogenic edema (yellow arrows).

Faint corresponding central restricted diffusion (red arrow) as well as faint restricted diffusion along the periphery of the surrounding vasogenic edema (yellow arrows).

诊断

中枢神经系统弓形虫病

鉴别诊断

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要点

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