Article Information Authors: Shalendra K. Misser1 Thami Z. Mngoma1 Affiliation: 1Lake Smit and Partners Inc, Durban, South Africa Correspondence to: Shalendra Misser Email: misser@lakesmit.co.za Postal address: Private Bag X08, Overport 4067, Durban, South Africa How to cite this article: Misser, SK, Mngoma, TZ. Neuro imaging. S Afr J Rad. 2015;19(1); Art. #815, 3 pages. http://dx.doi.org/10.4102/sajr.v19i1.815 Copyright Notice: © 2015. The Authors. Licensee: AOSIS OpenJournals. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Neuro imaging In This Quiz Case... Open Access • Presentation Presentation Top ↑ A 50 year-old gentleman of otherwise excellent health presents with recent onset of left upper limb weakness and left facial nerve palsy. These are selected MR images. FIGURE 1: Axial FLAIR MR image. FIGURE 2: Axial SWI MR image. FIGURE 3: Coronal T2-weighted MR image. FIGURE 4: Coronal post contrast T1-weighted MR image. FIGURE 5: Axial post contrast T1-weighted MR image FIGURE 6: Axial rCBV MR Perfusion image. FIGURE 7: MR Spectroscopy image obtained at TE 135ms. Describe the relevant imaging findings and formulate the most appropriate clinical diagnosis. Please submit your response to misser@lakesmit.co.za not later than 30 September 2015. The winning respondent will receive a R1000 award from the RSSA. A detailed diagnosis and discussion will be presented in the next issue of the SAJR.