Ring enhancing lesions on CT brain (438/1700)

A 44yo man comes with hx of early morning headaches and vomiting. CT brain shows ring
enhancing lesions. What is the single most appropriate option?

a. CMV
b. Streptococcus
c. Toxoplasmosis
d. NHL
e. Pneumocystis jirovecii





























answer: C
Toxoplasmosis investigations: CT shows ring enhancing lesions , Wright Giemsa stain, PCR

n.b. Pneumocystitis Jirovecii
Classic Xray shows: Bilateral Diffure Opacification +/- Cysts
CT lung: Ground Glass appearance

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