system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A PLHA patient came to neurology OPD with complaints of headache and blurring of vision since 15 days. On examination neck rigidity was present. CD4 count is less than 100. MRI was performed and given below. Diagnosis is?
assistant
The correct answer is  Above mentioned patient have meningitis based on clinical examination. In PLHA, CD4 count< 100 predisposes to following - Cryptococcosis Toxoplasmosis Lymphoma Disseminated MAC infection CMV retinitis Given MRI is showing characteristic soap-bubble appearance of bilateral lentiform nucleus seen in Cryptococcosis. This appearance is due to accumulation of mucin giving rise to gelatinous pseudocysts.