MRI cerebellar abscess with spectroscopy

Case contributed by Dr Muneesh Sharma

Presentation

45 year old male with recent onset headaches and vomiting, febrile

Patient Data

Age: 45
Gender: Male

well defined rim enhancing irregular cystic lesion in the superior right cerebellar hemisphere with perilesional edema and mass effect on the fourth ventricle and brainstem. marginal hemorrhage noted no solid component seen.

spectroscopy shows no choline / NAA in the margins. massive lipid and amino acid peaks are seen at 1.2 and 0.8

diffusion restriction is present

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Case information

rID: 13231
Case created: 17th Mar 2011
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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