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Axial brain MRI demonstrated (A) extensive T2 hyperintense signal (arrows) with mild mass…
Figure 1
Axial brain MRI demonstrated (A) extensive T2 hyperintense signal (arrows) with mild mass effect affecting the bilateral caudate nuclei and putamina (B) without associated restricted diffusion on diffusion‐weighted sequences and (C) without enhancement on T1 post‐gadolinium sequences. (D) Axial chest CT (greyscale) with superimposed [F18] FDG PET (color) demonstrated avid mediastinal and hilar lymphadenopathy (arrows) (E) biopsy demonstrated small blue cells with sparse cytoplasm without distinct nucleoli on H&E, positive for keratin, TTF1, synaptophysin, and chromogranin (patchy), consistent with small cell carcinoma.
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