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6136 Anatomy

The 7-year-old boy now in your office was last seen 2 weeks ago with a mild viral upper respiratory tract infection. Today, however, he presents with fever, ataxia, weakness, headache, and emesis. In the office, he has a 3-minute left-sided tonic-clonic seizure. You send him to the hospital and order a magnetic resonance imaging (MRI) with contrast of the brain, the results of which are shown. This boy’s likely diagnosis is which of the following?

AMultiple sclerosis
BAcute disseminated encephalomyelitis (ADEM)
CMalignant astrocytoma
DBacterial meningitis
Anatomy
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