Identify the Pathology of the Illness

This is what I love:

I want someone out there to identify the pathology of illness either going on or not going on in this series of MRI images.

I will give you a clue. The patient had a tropical disease. If you can diagnose the disease process, you deserve a beer or glass of wine, because if you can figure out what is going on here you have earned it. I await answers in eager anticipation.....to see who gets it right.

Presentation

BACKGROUND

A 34 year old patient arrives at the emergency room with intense pain in his head, the pain is localized in the front parietal area, and in the arch near the spinal cord. He has had fevers for thee weeks. He has lost 40 lbs. before arrival over the course of several months. Following the onset of the disease the patient was semi-conscious. Now he has "recovered."

Your mission, identify the possibility that an active etiology is present, if not identify what is wrong with the MRI image, if so, what is it? If no noticeable disease is present which type of tropical disease causes hypo-intense flair on an MRI?

Again if you can identify the pathology of this illness you get a free glass of wine or a beer. And if you know if it is active or finished, you may win a dinner.

This picture should give you a clue of what it is not, but expresses the belief of one of the people I cared for (thanks to Sr. Ann for the picture):

Comments

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