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. 2019 May 25;13:165. doi: 10.1186/s13256-019-2086-8

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — a–c Initial magnetic resonance imaging (MRI) of the brain. The initial MRI scan showed multiple disseminated, bihemispheric, supratentorial cortical, and subcortical hyperintense white matter lesions in the axial T2-weighted (3 mm) images, especially in the frontal, parieto-occipital, and occipitotemporal lobes (a). The white matter hyperintensities revealed contrast enhancement with a diffuse, fine granular pattern (b; axial T1-weighted image after contrast application, 3 mm). The parotid glands were diffusely enlarged on both sides with multiple small cystic areas and tiny contrast-enhancing nodules (c; coronal T1-weighted MPR after contrast application, 1 mm)