MRI images at 2 yr In the initial presentation with meningoencephalitis
There are FLAIR hyper-intensities at the right frontal, parietal and occipital lobes with involvement of both grey and white matter. Changes are not confined to a vascular territory. Diffusion restriction is evident. There is mass effect evidenced by sulcal effacement and compression of right lateral ventricle and mild midline shift to left.
There are FLAIR hyper-intensities in the left periventricular white matter. No diffusion restriction.
MRA is normal.