The patient tested positive for sputum acid-fast bacilli (AFP) and genexpert for TB. CSF analysis was positive for AFP, and his CT scan of the chest revealed post-primary active pulmonary TB.

The radiological criteria for this case were highly suggestive of cerebral TB especially the confluent small lesions, low T2 signal, diffusion restriction, and marginal post-contrast enhancement. The MRS criteria were also highly suggestive with markedly elevated Lipid/lactate peaks.