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Structural and physiologic MRI were performed after subacute onset of left hemiparesis in a patients with MS. MRI showed a large ring-enhancing lesion with surrounding edema and mass effect; differential diagnosis included a neoplasm or a l arge MS plaque. Physiologic MRI showed reduced blood flow and magnetization transfer, as well as increased diffusion, in the large lesion. Because these findings suggested a tumefactive MS plaque rather than a neoplasm, the patient received steroid trea tment for acute MS exacerbation. Three months later the patient improved clinically on MRI. |
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MRI MRI,abnormal MRI,demyelinating disease MRI,diffusion weighted MRS multiple sclerosis multiple sclerosis,differential diagnosis of multiple sclerosis,tumefactive neoplasm,primary intracerebral neoplasm,primary of CNS
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