MRI - MRI: day 2
Axial FLAIR
Axial T2
Axial T1
Axial DWI
Axial Gradient Echo
Sagittal T1
There is extensive abnormal sulcal signal on FLAIR and multiple areas of high signal on DWI consistent with areas of infarction. Additionally, there is extensive extra-axial diffusion restriction, particularly over the convexity of the brain, as well as pooling in the occipital horns.
Uncal herniation is present.
Conclusion:
The features are those of meningitis with cerebral oedema and multifocal infarction.