Case Notes
History
30 yo male presenting with fever and sinusitis initially then depressed level of consciousnessExam
MR T1-w post contrast
Prior Study
MR flair1. Aggressive left ethmoid sinus resulting in a focal relative large empyema adjacent to the ethmoid bone dehiscence in the left basifrontal area.
2. Secondary, mainly left sided, acute phase leptomeningitis with multicentric bilateral smaller subdural empyema's.