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Multiple cysts are seen throughout the brain without edema, which would typically rule out metastatic disease. In endemic countries, even though the cysts are larger, the most likely possibility would still be neurocysticercosis. The scolices were seen on the other images as well as on CT scan.


Fig. 5 Fig. 6
Fig. 5: Coronal FLAIR MRI shows a scolex (arrow) Fig. 6: Axial T2W MRI shows the scolex
Fig. 7 Fig. 8
Fig. 7: Axial CT scan shows a cyst and scolex appearance Fig. 8: Axial CT scan shows a cyst and scolex appearance

The responses were as follows

Fig. 9

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