SAJR SA JOURNAL OF RADIOLOGY 1027-202X 2078-6778 AOSIS OpenJournals SAJR-19-815 10.4102/sajr.v19i1.815 Quiz Case Neuro imaging Misser Shalendra K. 1 Mngoma Thami Z. 1 Lake Smit and Partners Inc, Durban, South Africa Correspondence to: Shalendra Misser, Email: misser@lakesmit.co.za Postal address: Private Bag X08, Overport 4067, Durban, South Africa

How to cite this article: Misser, SK, Mngoma, TZ. Neuro imaging. S Afr J Rad. 2015;19(1); Art. #815, 3 pages. http://dx.doi.org/10.4102/sajr.v19i1.815

 15 07 2015 2015 19 1 1 3 © 2015. The Authors 2015 AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License. Presentation

A 50 year-old gentleman of otherwise excellent health presents with recent onset of left upper limb weakness and left facial nerve palsy. These are selected MR images.

Axial FLAIR MR image.

Axial SWI MR image.

Coronal T2-weighted MR image.

Coronal post contrast T1-weighted MR image.

Axial post contrast T1-weighted MR image

Axial rCBV MR Perfusion image.

MR Spectroscopy image obtained at TE 135ms.

Describe the relevant imaging findings and formulate the most appropriate clinical diagnosis. Please submit your response to misser@lakesmit.co.za not later than 30 September 2015. The winning respondent will receive a R1000 award from the RSSA. A detailed diagnosis and discussion will be presented in the next issue of the SAJR.