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AIDS patient with memory problems, R hemiparesis, L limb ataxia, BL visual field deficits, and normal CSF. MRI T2 scan showed.

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Final answer:

An AIDS patient with neurological symptoms may have a condition such as Progressive Multifocal Leukoencephalopathy or effects from a pituitary tumor. MRI findings and clinical correlation are essential for diagnosis. These symptoms require a detailed medical assessment.

Step-by-step explanation:

An AIDS patient presenting with memory problems, right hemiparesis, left limb ataxia, and bilateral visual field deficits—with a normal cerebrospinal fluid (CSF) and specific findings on a T2-weighted MRI scan—suggests a neurological condition that may be due to an opportunistic infection or direct effects of the HIV virus. While multiple conditions can cause hemiparesis and ataxia, in an AIDS patient, one possibility is the presence of a central nervous system (CNS) infection such as Progressive Multifocal Leukoencephalopathy (PML) typically caused by the JC virus in immunocompromised individuals. Similarly, bilateral visual field deficits could signify an issue such as bilateral hemianopia, often arising from pressure on visual pathways, for instance, by a pituitary tumor. However, the definitive cause would be determined by correlating clinical findings with imaging results and possibly further tests.

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