Presentation
Fever, headache, and vomiting for the past week. History of recurrent otitis media. CT performed to assess for complications of otitis media.
Patient Data
Round intra-axial lesion with a diameter of 2.4 cm in the right cerebellar hemisphere, containing mixed contents and displaying ring enhancement after contrast injection. Perilesional oedema with mass effect manifesting as narrowing of the fourth ventricle on the right. The midline is preserved.
Status post right occipital craniotomy and mastoidectomy. Signs of haemorrhage in the surgical tracks.
Case Discussion
The cerebellar abscess shrank substantially in size on a subsequent MRI scan done a month later (not shown).