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Cerebral cryptococcosis: atypical appearances on CT

M Awasthi, MBBS 1 T Patankar, MD 1 P Shah, MD 1 and M Castillo, MD 2

1 Department of Radiology, King Edward VII Memorial Hospital, Acharya Donde Marg, Parel, Bombay, India 2 Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7510, USA



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  		Figure 1. (a) Contrast enhanced CT shows a sharply marginated, irregular, conglomerate, rim-enhancing lesion in the right high parietal cortex, 5 cm in its largest diameter. Surrounding vasogenic oedema is present. (b) A higher section shows intralesional calcification.

 


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  		Figure 2. Contrast enhanced CT 2 months after treatment with Amphotericin B shows resolution of oedema, although ring enhancement is persists.

 




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