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Images in Neurology
January 2005

Radiologic Miliary Patterns of Cerebral Tuberculosis

Arch Neurol. 2005;62(1):153-154. doi:10.1001/archneur.62.1.153

A 38-year-old African American man was admitted to the hospital with fever, headache, nausea, and vomiting of 2 months’ duration and right hand, arm, and leg weakness in the last 2 weeks. The only findings on physical examination were marked hyposthenia of the upper and lower right limb but no evidence of sensitive deficits or meningeal signs.1

A cerebral computed tomographic scan (Figure 1) showed multiple bilateral, small, rounded, lobulated intraparenchymal masses with ring enhancement, a low-density center, and perilesional edema but no calcifications. A T2-weighted magnetic resonance image (Figure 2) of the brain revealed multiple ring-enhanced lesions and multiple hyperintense, round areas with surrounding edema.2 The chest radiograph and laboratory test results showed no remarkable findings.