Case Notes
History
25 yo male with cystic fibrosis and new onset headache and systemic symptoms. Rx antibiotic. Symptoms worsened 10 days laterExam
MR T1-w post contrast
Prior Study
MR flair1. There is evidence of extensive bilateral, subpial/cortical edema and intra-sulcal protein affecting the cerebrum more than the cerebellum. Findings are consistent with fulminant, acute, proinflammatory phase of a primary leptomeningitis, likely in the day1-3 timeframe.
2. There is no evidence of complicating factors, such as ventriculitis, encephalitis, abscess or empyema.
3. There is a sequestered 3rd ventricle, likely under pressure, as above.