False-Negative CSF Cryptococcal Antigen with Cryptococcus gattii Meningoencephalitis in Southeastern United States: A Case Report and Literature Review

Figure 1

MRI brain with and without contrast showing diffuse leptomeningeal enhancement and several scattered foci of restricted diffusion, particularly in the left frontal and parietal lobes. There are some suggestions of T2/flair signal abnormality in the left frontal lobe with associated enhancement of the parenchyma, which could suggest early cerebritis (yellow arrow).