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Are the sulci abnormal?
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No
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Do the sulci look abnormal in this image?
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No
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The image probably had what incidental finding?
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cavum vergae
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What was probably found incidentally on this image?
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cavum vergae
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Describe the intensity of the abnormality seen in this image? (central vs. surrounding)
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central hyperintensity and surrounding hypointensity
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How would you describe the central and surrounding intesities of the abnormality seen?
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central hyperintensity and surrounding hypointensity
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Is this a CT or an MRI?
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MRI
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Was a CT or MRI used to take the above image?
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MRI
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Is the pathology seen hyperintense or hypointense in nature?
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Hyperintense
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Is the abnormality hyperintense or hypointense?
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Hyperintense
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This image is taken in what plane?
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axial
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Why are there no sulci seen in this image?
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there is massive cerebral hemisphere edema
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Why do you not see sulci in the image?
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there is massive cerebral hemisphere edema
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Is a noncontrast CT the first imaging test for a suspected brain bleed?
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yes
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Are the ventricles an abnormal size?
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no
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Is the size of the ventricles abnormal?
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no
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In what plane was this image taken?
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axial
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What plane was this image taken in?
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axial
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What structure in the left basal ganglia is spared?
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Left thalamus
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What is spared in the left basal ganglia?
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Left thalamus
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Pathology seen in this image?
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small subdural hematoma with cerebral edema
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What is the condition seen in this image?
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small subdural hematoma with cerebral edema
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The infarction is likely caused by what vessel?
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left MCA
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What vessel is likely the cause of this infarction?
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left MCA
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What would you call the lesions seen?
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MS plaques
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What is the name of the lesions seen in this image?
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MS plaques
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What is the vascular distribution of these infarcts?
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all three vascular distributions
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Where are the infarcts located?
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diffuse
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The pathology seen in this image is typical of what disease?
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multiple sclerosis
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What disease does the pathology suggest?
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multiple sclerosis
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In what parts of the brain are the lesions located?
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cerebrum and lateral ventricles
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Where do you see the lesions?
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cerebrum and lateral ventricles
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Where is the abnormality located?
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right convexity
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Where is the pathology located?
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right convexity
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The image shows what abnormality?
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abnormal hyperintensity in the right occipital lobe
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What is abnormal in this image?
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abnormal hyperintensity in the right occipital lobe
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Is this a sagittal plane image?
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no
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The image above shows an abnormality where?
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hyperintensity of the left basal ganglia
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Where is the abnormality in this image?
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hyperintensity of the left basal ganglia
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Is the grey/white matter border well differentiated?
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Yes
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Is there blurring of the grey-white matter junction?
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No
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Are the ventricles symmetrical?
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No
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Are the ventricles the same size?
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No
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What does the brighter outer ring of the lesion represent?
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necrosis
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What is indicated by the bright ring around the lesion?
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necrosis
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Are any ventricles visualized on this image?
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Yes
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Can you see ventricles?
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Yes
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What is your differential diagnoses?
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metastases, infection/abcess, glioblastoma
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What are the possible diagnoses?
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Toxoplasma, lymphoma, abscesses, other brain tumors
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Which is more likely? Cancer or hemorrhage?
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Hemorrhage
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Is this cancer or hemorrhage?
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Cancer
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what is the alternate name for lens-shaped""
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lentiform
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What term is synonymous with lens-shaped?
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Biconvex
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What is the most likely diagnosis?
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epidural hematoma
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What is going on with this patient?
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sinusitis
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Do you favor a viral process or parasitic process or other?
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viral
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Is this a viral or parasitic process?
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Parasitic
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Is mass effect obvious?
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Yes
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Does there seem to be a mass effect?
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Yes
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The dark space in the central portion of the image represents what structure(s)?
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lateral ventricles
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What do the dark spaces in the center show?
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lateral ventricles
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Do you suspect vascular process or a genetic process?
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genetic
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Is the etiology genetic or vascular?
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Vascular
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what shape would the lesion be if this were a subdural hematoma?
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crescent
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What shape is the lesion in a subdural hematoma?
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Concave
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What vascular territory is the lesion?
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Right MCA
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In what vascular territory is the lesion located?
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Right MCA
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Is this a vascular lesion
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Yes
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Does this lesion involve the vascular system?
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Yes
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What neuro deficits will are predicted by image location?
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quadrantopia, aphasia, memory deficit, etc.
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What deficits are suggested by the location of the lesion?
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Motor weakness, sensory deficits, and left neglect
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what is the most likely etiology
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viral/inflammatory
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What is most likely causing these lesions?
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CVA
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where is the pathology?
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In the cortex and basal ganglia bilaterally
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|
Where is the pathology located?
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In the cortex and basal ganglia bilaterally
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How can you tell the mass is hemorrhagic and pushing the optic chiasm?
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Not sure
|
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Where is the mass?
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Pituitary fossa
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Is gray or white matter highlighted in this image?
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Gray matter
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Which is highlighted in this image, white or gray matter?
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Gray matter
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Do the two findings have the same etiology?
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yes
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Is there a unified process?
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No
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Why does less enhancement mean less acute?
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More acute means more inflammation-leading to enhancement?
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What makes a lesion less acute?
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Less enhancement
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How do you know this is a T2 weighted image?
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CSF is white.
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What tells you that the image is T2?
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White versus grey matter brightness
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Is this an infectious process?
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Maybe
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Does this represent infectious process?
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Yes
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Is there any bleeding in this patient's brain?
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No
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Is there bleeding present in this patient's brain?
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No
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What brain structures would be affected by the lesion in the right frontal area of the brain?
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basal ganglia (caudate and putamen)
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Which brain structures could be affected by the lesion located in the right frontal brain area?
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basal ganglia (caudate and putamen)
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Where do we see multiple infarcts in the above image?
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Cerebellum
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Location of the multiple infarcts?
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Cerebellum
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Can gray-white differentiation be well assessed with this image?
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No
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Is there significant difference between gray and white matter here?
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Yes
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Is the occipital lobe visible in this image?
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No
|
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Is the occipital lobe present?
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No
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|
Is there infiltrate in the sinuses?
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No
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Are the sinuses abnormal?
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No
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What lobe is the infarct in?
|
Right parietal
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