Meningitis and increased intra cranial hypertension (MR).

PROTOCOL:

T1W – Sagittal & axial scans
T2W – Axial & coronal scans
FLAIR – Axial scans 

FINDINGS:

-Revealed:
• Dura arachnoid enhancement along the inner table of cranial convexity in both parietal regions (seen better in T1 coronal enhanced images where in the right side is shown in image # 11 and on the left side in image # 9).
• Also thickened enhanced dura in the area of falx cerebri (coronal enhanced image # 12).
• No abnormal enhancement in tentorium.
• A suspicious area of abnormal pia subarachnoid enhancement in the left frontal region (T1 axial enhanced image # 19).
• Dilatation of the peri-optic CSF spaces with right sided diameter equal to 7.3 and left sided diameter 7.2 mm.
• Mild bilateral flattening of both posterior scleras.
• Tortuous course of both optic nerves.
• Normal morphology of MR angiography and venography.

OPINION:

• Picture is suggestive of meningitis with MR signs of increased intra cranial tension for ophthalmic consultation if clinically indicated.

Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin