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Villanacci V, et al

Contrast enhancement after gadolinium administration may be homogeneous or heterogeneous in relation to the degree of cellularity, cysts, calcifications, or hemorrhage areas

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Pausing or stopping the medication is rarely necessary, and is typically only considered if the shedding is severe or persistent

Dormancy Period: May remain undetected for many years, however anemia may be an indicator of long term infection