There is evidence of acute leptomeningitis.

There is evidence of active primary pachymeningitis.

There is evidence of secondary pachymeningitis associated with extension of extra cranial infections (i.e. otomastoiditis, sinusitis, parapharyngeal/skull base infections, calvarial infections, thrombophlebitis).

There is evidence of complications of meningitis (subperiosteal, epidural, subdural empyema's).

There is evidence of acute cerebritis.

There is evidence of brain abscess(es).

There is evidence of septic emboli with multicentric abscesses or micro abscesses.

There may be contrast enhancement once viral infections undergo tissue necrosis.

There is evidence of calvarial osteomyelitis and possible subperiosteal empyema.

No other significant imaging findings are present.