Cerebritis and meningitis (MR).

PROTOCOL:

T2W – Sagittal & axial scans

T1W – Axial scans

FLAIR – Coronal scans

T2FFE (Gradient) – Axial scans

3D TOF MR angiography of the circle of Willis vessels and MIP reconstruction.

FINDINGS:

-REVEALED:

·        Bilateral occipital areas of altered signal with faint hyper intensity on Flair images cortical and sub cortical.

·        Abnormal enhancement in the previously mentioned areas with abnormal meningeal enhancement.

-Brain Parenchyma shows normal grey white matter differentiation and signal intensities.  No focal mass lesion is seen.

-Lateral and third ventricles are normal in size and position. Septum is in midline.  There is no midline shift.

-Basal cisterns, cortical sulci and gyri are normal in appearance.

-Corpus callosum shows normal MR morphology.

-Brain stem and cerebellum show normal signal intensities. 

-Fourth ventricle is normal in size and is midline in position.

-MR angiography reveals normal course, caliber and outlines of vessels of bilateral CA, ACA, MCA, PCA and their peripheral branches. Vertebro basilar trunk is also normal in appearance.

OPINION:

·           Picture is suggestive of cortical and meningeal infection for clinical correlation.

Reported By : DR.MOHAMMED MOHYELDIN

                          Consultant-Radiologist

Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin