Pitfalls in the computed tomographic diagnosis of toruloma

A case of multiple intracerebral mass lesions is presented in which significant “improvement” in the computed tomographic appearance was noted following steroid and radiation therapies. Nonetheless, the patient's clinical course was one of rapid deterioration, and an autopsy revealed multiple torulomas. It seems that the computed tomographic appearance of torulomas can mimic those of other intracranial mass lesions and can be greatly altered by steroid and radiation therapies, either singly or in combination.