Findings reveal enhancing cortical exudates in the right perimesencphalic cistern and the Sylvian fissure. These findings are visible on Contrast study - FLAIR sequences predominantly compared to standard T1+ C sequence.
Diagnosis
Pyogenic Meningitis
RAD PEARLS
Gd-DTPA-enhanced MR images are superior to postcontrast CT scans
Contrast enhanced FLAIR sequences are superior to standard T1 Contrast sequences for meningitis
Reason?:?it is possible that difference in the CSF protein concentration could have made FLAIR more sensitive
