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Welcome to the Academic and Educational pages of the
Department of Radiology
Seth G.S. Medical College and K.E.M. Hospital, Mumbai , India
Case of the Day
Case of the Day
A 35-year-old man was brought with altered sensorium since for days.
A 35-year-old man was brought with altered sensorium since for days.
There was an episode of convulsion 15 days ago.
There was an episode of convulsion 15 days ago.
Pea in pod
MRI of the brain shows multiple, variable sized, central T2/FLAIR hyperintense, peripherally enhancing, T1 isointense lesions with a T2 hypointense rim in both the cerebral and cerebellar hemispheres with significant perilesional edema. The largest lesion measures 26 x 21mm and is located in the right frontal lobe. The lesions show peripheral diffusion restriction and eccentric nodularity - suggestive of the 'pea in pod' sign. On spectroscopy, lipid, lactate and amino acid peaks are noted.
MRI of the brain shows multiple, variable sized, central T2/FLAIR hyperintense, peripherally enhancing, T1 isointense lesions with a T2 hypointense rim in both the cerebral and cerebellar hemispheres with significant perilesional edema. The largest lesion measures 26 x 21mm and is located in the right frontal lobe. The lesions show peripheral diffusion restriction and eccentric nodularity - suggestive of the 'pea in pod' sign. On spectroscopy, lipid, lactate and amino acid peaks are noted.
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