Figure 1: Cryptococcal Meningitis with Virchow-Robin space involvement. Coronal T1+C (top row left): Abnormal enhancement along the expected course of the perivascular spaces in the lentiform nuclei, greater on the right. Axial T2 (top row right): The appearance of the perivascular space involvement by cryptococcus can look similar to physiologic dilatation of these spaces. Axial FLAIR (bottom row): However, FLAIR hyperintensity in and around these perivascular should raise suspicion for cryptococcus in the appropriate clinical context.
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