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Multiple enhancing nodules in the brain and linear enhancement in the leptomeninges, accompied by stick-shaped enhancement, were the characteristic signs of the disease on Gd-DTPA-enhanced T1-weighted images.
Multiple enhancing lesions were noted in five, and five cases had associated mild oedema, with mild mass effect observed in one.
Based on the BI-RADS lexicon [ 14], we defined architectural distortion, regional, segmental, ductal, multifocal, or diffuse enhancement, and multiple enhancing foci as descriptors of non-mass lesions.
Similar to pyogenic abscesses, tubercular abscesses can at times exhibit a "honeycomb" appearance with multiple enhancing septations and intermixed areas of necrosis (Fig. 8b, c) [25].
a Axial contrast-enhanced T1-weighted MR image before start of neoadjuvant chemotherapy shows diffuse skin thickening and edema involving the right breast, with multiple enhancing masses (arrowheads) and enlarged right axillary lymph nodes (arrow).
Sagittal (b) and axial (c) T1-weighted MR images of the lumbar spine (after intravenous gadolinium contrast administration) demonstrate multiple enhancing tumour nodules (yellow arrows) along the lumbar spinal cord and cauda equina indicating leptomeningeal metastatic disease.
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multiple poorly enhancing masses (60%).
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