A case of central nervous system lymphoma manifesting as multiple patchy white matter lesions with a past history of tonsil lymphoma

Abstract

Lymphoma of the central nervous system (CNS) parenchyma is known to present as a welldemarcated mass with strong and homogenous gadolinium enhancement in the periventricular and/or superficial region. We report a case of central nervous system lymphoma (CNSL) manifesting as multiple white matter lesions with non-tumorous patchy or ring-like enhancement and partial spontaneous resolution on magnetic resonance imaging (MRI). Such findings are unusual and could lead to misdiagnosis without pathological evaluation.