Case Notes
History
55 yo female with diabetes who presented with headache and fever and sinusitis (diagnosed on prior outside maxface CT). For the last several hours later had worsening symptoms and altered mental status changes.Exam
MR T1-w post contrast
Prior Study
MR flair1. There is evidence of diffuse leptomeningitis with findings on MR flair mostly in the hyperacute humeral immune phase of infection.
2. There is prominent mucosal edema in the paranasal sinuses and within the sella and within the retroglobal orbital soft tissue plus inflammation in the nasopharyngeal soft tissues. It is possible that the leptomeningitis is related to nasopharyngeal infection spreading into the sella and secondarily into the CSF.