Submitted brain glial tissue shows dense infiltration by neutrophils, lymphocytes, plasma cells and macrophages with related capillary proliferation and cell debris. No evidence of granulomas or tumors in this material.
History of fever , headache, conscious disturbance and right-sided body weakness. MRI: 4 x 3.3 x 5.1 cm intra-axial multiloculated cystic lesion seen at left frontal lobe with marked surrounding vasogenic edema.
Two soft tissue fragments measuring 4.5x3.5x1.5 cm and 2.8x2.5x1 cm, with cut section showing cystification in an area of 2.3x2 cm.
Left frontal lobe lesion, biopsy: