Pott puffy tumor is a non-neoplastic complication of acute sinusitis characterized by subgaleal collection, subperiosteal abscess and osteomyelitis. There may be intracranial extension with epidural abscess, subdural abscess, meningitis and cerebral abscess formation.

MRI findings in this child is consistent with pott puffy tumor with cerebral abscesses which was surgically drained. Culture yielded no bacteria growth likely due to previously administered antibiotics. Culture also yielded no fungal growth or acid fast bacilli.

Additional contributor: Dr Hammed Oshola, Neurosurgeon.