Cerebral abscess and ventriculitis
Headache with seizure.
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A peripherally (ring) enhancing lesion is seen in the medial aspect of the the right temporal lobe with further enhancement seen along the temporal horn of the lateral ventricle. The enhancing rim demonstrates low T2 signal. Extensive surrounding edema is present.
Extension of a cerebral abscess into the ventricles is a very serious complication and has a very poor prognosis.