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A: The differential diagnosis for abnormal mesial temporal signal without enhancement on MRI is broad and includes infarction, HSV encephalitis, status epilepticus, low grade astrocytoma, gliomatosis cerebri and limbic encephalitis. Markedly FDG avid abnormality within the left mesial temporal lobe corresponding to the MRI abnormality.


The differential diagnosis for abnormal mesial temporal signal without enhancement on MRI is broad and includes infarction, HSV encephalitis, status epilepticus, low grade astrocytoma, gliomatosis cerebri and limbic encephalitis. The marked FDG avidity on PET scan and right hilar mass however strongly favour the diagnosis of paraneoplastic limbic encephalitis.





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