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Figure 2: a and c (white arrow) show the positive lactate doublet peak in the right thalamus lesion and in cerebral spinal fluid. The peaks both disappear after treatment (f and h). b (T1WI), d (T2WI), g (FLAIR), and i (FLAIR) show the localizers of each voxel. The high signals on T2WI image (e) illustrate the lesions in bilateral mammary bodies and in the periaqueductal region and they resolve after treatment (j, T2WI)

Figure 2: a and c (white arrow) show the positive lactate doublet peak in the right thalamus lesion and in cerebral spinal fluid. The peaks both disappear after treatment (f and h). b (T1WI), d (T2WI), g (FLAIR), and i (FLAIR) show the localizers of each voxel. The high signals on T2WI image (e) illustrate the lesions in bilateral mammary bodies and in the periaqueductal region and they resolve after treatment (j, T2WI)