Cerebral abscess with ventriculitis

Case contributed by Pat S. Kwankaew (MD) , 19 Jan 2012
Diagnosis probable
Changed by Mostafa Elfeky, 25 Nov 2021

Updates to Case Attributes

Age changed from 20 to 20 years .

References changed:

  • 1. Luthra G, Parihar A, Nath K et al. Comparative Evaluation of Fungal, Tubercular, and Pyogenic Brain Abscesses with Conventional and Diffusion MR Imaging and Proton MR Spectroscopy. AJNR Am J Neuroradiol. 2007;28(7):1332-8. <a href="https://doi.org/10.3174/ajnr.A0548">doi:10.3174/ajnr.A0548</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17698537">Pubmed</a>
  • 2. Smirniotopoulos J, Murphy F, Rushing E, Rees J, Schroeder J. Patterns of Contrast Enhancement in the Brain and Meninges. Radiographics. 2007;27(2):525-51. <a href="https://doi.org/10.1148/rg.272065155">doi:10.1148/rg.272065155</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17374867">Pubmed</a>
  • Luthra G, Parihar A, Nath K et-al. Comparative evaluation of fungal, tubercular, and pyogenic brain abscesses with conventional and diffusion MR imaging and proton MR spectroscopy. AJNR Am J Neuroradiol. 2007;28 (7): 1332-8. <a href="http://dx.doi.org/10.3174/ajnr.A0548">doi:10.3174/ajnr.A0548</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17698537">Pubmed citation</a><div class="ref_v2"></div>
  • Luthra G, Parihar A, Nath K et-al. Comparative evaluation of fungal, tubercular, and pyogenic brain abscesses with conventional and diffusion MR imaging and proton MR spectroscopy. AJNR Am J Neuroradiol. 2007;28 (7): 1332-8. <a href="http://dx.doi.org/10.3174/ajnr.A0548">doi:10.3174/ajnr.A0548</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17698537">Pubmed citation</a><div class="ref_v2"></div>
  • Smirniotopoulos JG, Murphy FM, Rushing EJ et-al. Patterns of contrast enhancement in the brain and meninges. Radiographics. 27 (2): 525-51. <a href="http://dx.doi.org/10.1148/rg.272065155">doi:10.1148/rg.272065155</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17374867">Pubmed citation</a><div class="ref_v2"></div>

Updates to Study Attributes

Findings was changed:

There is a smooth thin ring enhancing-enhancing lesion with central restricted diffusion at the left frontal lobe, consistent with brain abscess.

Evidence of rupture into the lateral ventricle with intraventricular restricted diffusion content and mild enhancement along the ependymal lining are suggestive of ventriculitis.

Images Changes:

Image MRI (T2) ( update )

Stack was set to .
Perspective was set to Axial.
Cropped image

Image MRI (DWI) ( update )

Stack was set to .
Perspective was set to Axial.
Cropped image

Image MRI (T1 C+) ( update )

Stack was set to .
Perspective was set to Axial.
Cropped image

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