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M.F.V.V. Aragão, M.C. Leal, T.M. Fonseca, O.Q. Cartaxo Filho and M.M Valença
American Journal of Neuroradiology February 2021, 42 (2) E2-E3; DOI: https://doi.org/10.3174/ajnr.A6943
M.F.V.V. Aragão
aUniversidade Federal de PernambucoRecife, Brazil
bCentro Diagnostico MultimagemRecife, Brazil
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M.C. Leal
cUniversidade Federal de PernambucoRecife, Brazil
dReal Hospital Português de Beneficência em PernambucoRecife, Brazil
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T.M. Fonseca
eReal Hospital Português de Beneficência em PernambucoRecife, Brazil
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O.Q. Cartaxo Filho
eReal Hospital Português de Beneficência em PernambucoRecife, Brazil
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M.M Valença
fUniversidade Federal de PernambucoRecife, Brazil
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    FIGURE.

    A woman in her 60s with confirmed COVID-19 for which MR imaging shows a hyperintense lesion on a coronal reconstruction of 3D-FLAIR (A, arrow) and also on pre- (B, arrow) and postcontrast SPGR T1WI (C, arrow). This is suggestive of a component of probably methemoglobin in this left olfactory bulb lesion, which seems to be a little larger and asymmetric compared with the apparently normal right olfactory bulb. This asymmetry is better seen on FLAIR. On FLAIR (A, short arrow), there is also a small round hyperintense lesion in the subcortical white matter in the left frontal lobe, which is hypointense on T1WI (B, short arrow) and does not enhance on postcontrast T1WI (C, short arrow), being no specific lesion area probably corresponding to gliosis. This patient also had some areas of brain parenchymal bleeding and microbleeding, and had around 50% of the bilateral pulmonary parenchyma compromised with typical COVID-19 lesions on chest CT, not shown in this figure.

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American Journal of Neuroradiology: 42 (2)
American Journal of Neuroradiology
Vol. 42, Issue 2
1 Feb 2021
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M.F.V.V. Aragão, M.C. Leal, T.M. Fonseca, O.Q. Cartaxo Filho, M.M Valença
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American Journal of Neuroradiology Feb 2021, 42 (2) E2-E3; DOI: 10.3174/ajnr.A6943

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Reply:
M.F.V.V. Aragão, M.C. Leal, T.M. Fonseca, O.Q. Cartaxo Filho, M.M Valença
American Journal of Neuroradiology Feb 2021, 42 (2) E2-E3; DOI: 10.3174/ajnr.A6943
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  • Virtual Biopsy: A Reality Thanks to Advances in Radiology
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  • Reply:
    M.F.V.V. Aragao, P.H.P. deAndrade, V.S. da Nobrega Segundo, M.M. Marques, H.J.G. de Azevedo, R.J.V. de Mello, M. de Carvalho Leal, M.L. Soares, M.M. Valenca
    American Journal of Neuroradiology 2021 42 9

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