Tuberculous choroid plexitis

Case contributed by Yahya Baba
Diagnosis almost certain

Presentation

Admitted to the pulmonology department for pulmonary tuberculosis. Complaints of a headache.

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Axial
non-contrast
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Axial C+
delayed
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Coronal
non-contrast
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Sagittal
non-contrast
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Info
  • enlargement of the temporal horn of the right lateral ventricle

  • hypodensity around the trigone of the lateral ventricle representing vasogenic oedema

  • mild enhancement of the choroid plexus on enhanced CT

  • the left choroid plexus is unremarkable

mri
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Sagittal
T2
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Axial
FLAIR
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Axial
T2
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T1
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Axial
Gradient Echo
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Axial
DWI
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Axial
MRA
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Axial
T1 C+
This study is a stack
Axial
T1 C+
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  • enlargement of the temporal horn of the right lateral ventricle with associated vasogenic oedema around the trigone

  • mild enhancement of the right choroid plexus of the lateral ventricle

  • no obvious leptomeningeal enhancement

This study is a stack
Axial lung
window
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Coronal
lung window
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Sagittal
lung window
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
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Info

There are multiple alveolar consolidations, cavitations, tree-in-bud patterns, and centrilobular nodules at the upper lobes and left lower lobe.

Case Discussion

CT and brain MRI features of choroid plexitis with associated ventriculitis. This patient's history and chest CT are highly suggestive of the tuberculous origin of this choroid plexitis.

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