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A 34-year-old male with herpes encephalitis. (a) Coronal T2 weighted image shows bilateral symmetric cortical swelling and hyperintensity involving the anteromedial temporal lobes including the insular cortex (white arrows) with characteristic sparing of basal ganglia (open arrows). (b) Axial T2 weighted image shows additional involvement of orbital gyri (black arrows). (c) Axial diffusion-weighted image depicts restricted diffusion in the involved areas (white arrows).
