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  Indian J Med Microbiol
 

Figure 3: A 61-year-old male patient who presented with epileptic fits and left hemiparesis; a right temporal cortical and subcortical infiltrative lesion, surrounded by GI vasogenic edema with associated mass effect can be seen. (a, b) Fluid attenuation inversion recovery (FLAIR) and T1 GAD: the lesion showed heterogeneous hyperintense signal on FLAIR with moderate heterogeneous contrast enhancement. (c) Axial diffusion-weighted imaging (DWI) showed hyperintensity in the solid (enhancing) portion of the mass (arrow) and hypointensity in the cystic/necrotic portion (arrowhead). (d) Apparent diffusion coefficient (ADC) image showing heterogeneous hypointensity in the solid portion (arrow) compared with the cystic/necrotic portion, which is hyperintense (ADC value measured 0.75 × 10-3 mm2/s), denoting restricted diffusion. Collectively, the findings are in favor of high-grade glioma; histopathological examination confirmed the diagnosis WHO GIV gliomas (glioblastoma multiform).

Figure 3: A 61-year-old male patient who presented with epileptic fits and left hemiparesis; a right temporal cortical and subcortical infiltrative lesion, surrounded by GI vasogenic edema with associated mass effect can be seen. (a, b) Fluid attenuation inversion recovery (FLAIR) and T1 GAD: the lesion showed heterogeneous hyperintense signal on FLAIR with moderate heterogeneous contrast enhancement. (c) Axial diffusion-weighted imaging (DWI) showed hyperintensity in the solid (enhancing) portion of the mass (arrow) and hypointensity in the cystic/necrotic portion (arrowhead). (d) Apparent diffusion coefficient (ADC) image showing heterogeneous hypointensity in the solid portion (arrow) compared with the cystic/necrotic portion, which is hyperintense (ADC value measured 0.75 × 10-3 mm2/s), denoting restricted diffusion. Collectively, the findings are in favor of high-grade glioma; histopathological examination confirmed the diagnosis WHO GIV gliomas (glioblastoma multiform).