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History

25 yo male with cystic fibrosis and new onset headache and systemic symptoms. Rx antibiotic. Symptoms worsened 10 days later

Exam

Pre and or post head CT

Prior Study

none

Dicom

Findings

You scored: 0 / 10

Pre and or post head CT	Correct Answer	Your Answer
There is evidence of acute leptomeningitis.	No	NA
There is evidence of active primary pachymeningitis.	No	NA
There is evidence of secondary pachymeningitis associated with extension of extra cranial infections (i.e. otomastoiditis, sinusitis, parapharyngeal/skull base infections, calvarial infections, thrombophlebitis).	No	NA
There is evidence of complications of meningitis (subperiosteal, epidural, subdural empyema's).	No	NA
There is evidence of acute cerebritis.	No	NA
There is evidence of brain abscess(es).	No	NA
There is evidence of septic emboli with multicentric abscesses or micro abscesses.	No	NA
There may be contrast enhancement once viral infections undergo tissue necrosis.	No	NA
There is evidence of calvarial osteomyelitis and possible subperiosteal empyema.	No	NA
No other significant imaging findings are present.	Yes	NA

Impression

Expert Answer

All the above are true.

Your Answer

Recommendations & Acuity

Recommendations

Expert Answer

Proceed with additional MR imaging sequences.

Your Answer

Acuity

Expert Answer

Emergent (Action Necessary now)

Your Answer