Case Report

Multiple Large Tumefactive MS Plaques in a Young Man: A Diagnostic Enigma and Therapeutic Challenge

Figure 1

April 2008, axial T1WI ((a), (b), and (c)) and T2WI ((d), (e), and (f)) demonstrate multiple round-shaped lesions with low T2 and iso T1 margin and central low T1 and high T2 signal intensity in right centrum semiovale region and perileft occipital horn white matter, extending to splenium of the corpus callosum and are associated with peripheral vasogenic edema but mo mass effect or midline structure shift was seen. On postcontrast T1 W images ((g), (h), and (i)), heterogeneous enhancement was noted in lesions.
363705.fig.001a
(a)
363705.fig.001b
(b)
363705.fig.001c
(c)
363705.fig.001d
(d)
363705.fig.001e
(e)
363705.fig.001f
(f)
363705.fig.001g
(g)
363705.fig.001h
(h)
363705.fig.001i
(i)