Figure 2. MRI After Steroid Taper Demonstrating Recurrence of Multifocal Enhancing Lesions.

(A) Contrast-enhanced brain MRI after weaning of oral steroids and recurrence of symptoms, demonstrating punctate enhancing lesions in many of the same areas as seen on initial presentation. (B) Highlighted in the yellow ovals are residual areas of punctate, perivascular enhancement, notably in the same regions as when the patient first obtained imaging.