Is raised choline on MRS a non-specific finding?
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFynl5i-wCWj2V9-rcsTvQUEA6IFwSe87PmFXMDCgkPUm-mm7ZgrOZLF0824a7-9CyCb4p9q4x99A_kXKA0J05GbeOYgcQgrOBIOl5JH6vk_F4IIyXv7YEjZRT7QPVMOEnhkGCsFm8nRHR/s320/tuberculoma.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfdwYQ4pVMHO1xhwNI1pKU6QmU1tXK9ReAHviOktyupq1dEK7ECNfCJOgKYJrrYeCgU6-_uwQKjGYjNf4Hbp10ZNqNMN5cQg_knZmwPe4TqpIUN2p3h2wL1RAmlbvV4nKTgcxo7KsG-d7u/s320/spectro.jpg)
This is a biopsy proven case of tuberculomas which improved dramatically with ATT. However, MRS findings of raised choline and lipid-lactate peak was seen which is traditionally associated with neoplastic etiologies. Review of literature revealed an article in J. Magn. Reson. Imaging 2001;14:8-15. which also questioned specificity of this finding.
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