A. A. Sagittal postcontrast T1-weighted magnetic resonance scan shows diffuse pachymeningeal thickening and enhancement best seen in the anterior and posterior.

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Presentation transcript:

A. A. Sagittal postcontrast T1-weighted magnetic resonance scan shows diffuse pachymeningeal thickening and enhancement best seen in the anterior and posterior cranial fossa (arrowheads). The anterior cranial fossa arrowhead shows the future site of dural biopsy. The dural thickening had completely resolved on followup imaging 6 months after therapy was initiated. B. Axial postcontrast computed tomography image from the chest shows circumferential wall thickening surrounding the aortic arch and proximal great vessels (arrowheads) consistent with aortitis. There is a small amount of hyperattenuation in the aortic wall because of calcification. On followup imaging, the soft-tissue thickening was almost completely resolved. SARAH LIPTON et al. J Rheumatol 2013;40:1236-1238 ©2013 by The Journal of Rheumatology