Tree-in-bud appearance in the brain: Fungal granuloma on con
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Intracranial fungal granulomas are almost always a clinical surprise because their presentation is subtle, often without any typical diagnostic characteristics, and thus, they are frequently mistaken for tuberculomas, pyogenic abscess, or brain tumor. Difficulty in preoperative diagnosis is further aggravated in immunocompetent patients because of its relative rarity in patients with normal immunity.

This article describes a case of dural-based homogenously enhancing fungal granuloma in a 29-year-old male who presented with 3 months history of a headache. The peculiarity of the case was that there were streaky areas of enhancement around the lesion in the brain parenchyma which resembled tree-in-bud like appearance. The patient underwent surgery and histopathological analysis revealed numerous Aspergillus hyphae.

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