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. 2011 Apr-Jun;21(2):90–97. doi: 10.4103/0971-3026.82283

Figure 4 (A-D).

Figure 4 (A-D)

Fungal granulomas. A 56-year-old male patient presented with headache, neck pain, and fever for 1 month, right hemiparesis for 10 days and altered sensorium for 1 day. Axial T2W (A) and T1W contrast-enhanced (B) images do not show any abnormality in the basal cisterns. Abnormal T2-hyperintense signal is present in the left cerebellar hemisphere (arrow), which showed restricted diffusion (not shown) suggestive of an acute infarct. Axial CISS image (C) shows nodular soft tissue (arrow) in the pre-pontine cistern, which was diagnosed to be a fungal granuloma. Axial CISS image acquired a few sections higher (D) shows a fungal granuloma (arrow) abutting the left trigeminal nerve (arrowhead)