EURORAD ESR

Case 14763

Clival ostemyelitis

Author(s)
Huapaya Torres Janice, Donato Angel, Figueroa Ramon E.

Medical College of Georgia at Augusta University,
Georgia, USA;
Email:janice25h@gmail.com
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    Brain CT
     

    Brain CT shows soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain CT shows soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Brain CT Bone windows
     

    Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Brain MRI with gadolinium
     

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    Brain MRI with gadolinium coronal
     

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    Brain MRI diffusion
     

    Diffusion-weighted images identify punctate areas of diffusion signal abnormality in the clivus and cavernous sinuses within the clivus and sphenoid body bone marrow spaces.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    ADC maps show diffusion restriction matching the punctate areas of diffusion signal abnormality within the clivus and sphenoid body bone marrow spaces.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Brain CT shows soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.
 
Brain CT shows soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.
 
Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.
 
Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.
 
Brain CT shows a permeative moth-eaten appearance of the clivus, with soft tissue replacement of the dorsum sella and high density expansion of both cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Brain MRI shows an infiltrating soft tissue mass involving the central skull base centred on the clivus, extending into the cavernous sinuses bilaterally, resulting in an expanded appearance of the cavernous sinuses.
 
Diffusion-weighted images identify punctate areas of diffusion signal abnormality in the clivus and cavernous sinuses within the clivus and sphenoid body bone marrow spaces.
 
ADC maps show diffusion restriction matching the punctate areas of diffusion signal abnormality within the clivus and sphenoid body bone marrow spaces.
 
 
 
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