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. 2022 Jul 11;13:946180. doi: 10.3389/fneur.2022.946180

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Copyright © 2022 Shiraishi, Umemura, Nakayama, Yamada, Shijo and Hashimoto.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Imaging and magnetic resonance spectroscopy findings. (A) Body trunk computed tomography showed enlargement of the left testicle with heterogeneous content (arrow) and retroperitoneal lymph node (arrowhead). (B–D) Brain magnetic resonance imaging (MRI) on admission showed a high-intensity lesion in diffusion-weighted and fluid-attenuated inversion recovery (FLAIR) images, with iso-intensity in apparent diffusion coherence images. (E, F) The brain lesion enlarged afterward, but with no gadolinium enhancement. (G) Magnetic resonance spectroscopy showed high choline (Cho) peak, preserved N-acetyl aspartate (NAA) peak, and lactate (Lac) peak. Cr, creatine.