EURORAD ESR

Case 15183

Septic Embolic Encephalitis

Author(s)
Dr. Akshay Pendkar1, Dr. Nandish Kumar2 , Dr. Ketan Rathod3 M.D., Dr. Nandini U. Bahri4 M.D.

1.Third year resident, Department of Radio diagnosis, M.P. Shah Government Medical College, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat, India.

2.Third year resident, Department of Radio diagnosis, M.P. Shah Government Medical College, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat, India.

3.Assistant Professor, Department of Radio diagnosis, M.P. Shah Government Medical College, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat, India.

4.Professor and Head, Department of Radio diagnosis, M.P. Shah Government Medical College, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat, India.

SHRI GURU GOBIND SINGH HOSPITAL, SHRI GURU GOBIND SINGH HOSPITAL; P.N.MARG 361008 Jamnagar, India; Email:drakshay28@gmail.com
 
Patient
male, 14 year(s)
 
 
  • Figure 1
    CECT Brain - Axial Images
     

    Two well-defined peripherally ring enhancing rounded hypodense lesions, in cortex-subcortical white matter junction of right parietal lobe with surrounding edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Abscess;

    A well-defined peripherally ring enhancing rounded hypodense lesion, in cortex-subcortical white matter junction of left temporal lobe with surrounding edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Abscess;

    Diffuse cerebral edema is noted in the form of effacement of sulci and obliteration of lateral ventricles.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 2
    CECT Brain - Sagittal and Coronal Image
     

    Two well-defined peripherally ring enhancing rounded hypodense lesions, in cortex-subcortical white matter junction of right parietal lobe with surrounding edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Abscess;

    A well-defined peripherally ring enhancing rounded hypodense lesion, in cortex-subcortical white matter junction of left temporal lobe with surrounding edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 3
    MRI Brain T2WI
     

    The lesions in right parietal lobe show peripheral hypointense rim on T2WI with internal heterogeneous intensity content with surrounding hyperintense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe shows peripheral hypointense rim on T2WI with internal heterogeneous intensity content with surrounding hyperintense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 4
    MRI Brain T1WI
     

    The lesions in right parietal lobe show peripheral hyperintense rim on T1WI with internal hypointense content with surrounding hypointense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe shows peripheral hyperintense rim on T1WI with internal hypointense content with surrounding hypointense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 5
    MRI Brain FLAIR
     

    The lesions in right parietal lobe appear hypointense on FLAIR with surrounding hyperintense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe appears hypointense on FLAIR with surrounding hyperintense white matter edema. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 6
    MRI Brain T2*GRE
     

    The lesions in right parietal lobe demonstrates peripheral rim of blooming, confirming it to be haemorrhagic rim. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe demonstrates peripheral rim of blooming, confirming it to be haemorrhagic rim. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;
     
     
  • Figure 7
    MRI Brain DWI and ADC
     

    The lesions in right parietal lobe show diffusion restriction on DWI. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe shows diffusion restriction on DWI. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesions in right parietal lobe show low value on ADC. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;

    The lesion in left temporal lobe shows low value on ADC. (Yellow arrow)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Abscess;
     
     
Two well-defined peripherally ring enhancing rounded hypodense lesions, in cortex-subcortical white matter junction of right parietal lobe with surrounding edema. (Yellow arrow)
 
A well-defined peripherally ring enhancing rounded hypodense lesion, in cortex-subcortical white matter junction of left temporal lobe with surrounding edema. (Yellow arrow)
 
Diffuse cerebral edema is noted in the form of effacement of sulci and obliteration of lateral ventricles.
 
Two well-defined peripherally ring enhancing rounded hypodense lesions, in cortex-subcortical white matter junction of right parietal lobe with surrounding edema. (Yellow arrow)
 
A well-defined peripherally ring enhancing rounded hypodense lesion, in cortex-subcortical white matter junction of left temporal lobe with surrounding edema. (Yellow arrow)
 
The lesions in right parietal lobe show peripheral hypointense rim on T2WI with internal heterogeneous intensity content with surrounding hyperintense white matter edema. (Yellow arrow)
 
The lesion in left temporal lobe shows peripheral hypointense rim on T2WI with internal heterogeneous intensity content with surrounding hyperintense white matter edema. (Yellow arrow)
 
The lesions in right parietal lobe show peripheral hyperintense rim on T1WI with internal hypointense content with surrounding hypointense white matter edema. (Yellow arrow)
 
The lesion in left temporal lobe shows peripheral hyperintense rim on T1WI with internal hypointense content with surrounding hypointense white matter edema. (Yellow arrow)
 
The lesions in right parietal lobe appear hypointense on FLAIR with surrounding hyperintense white matter edema. (Yellow arrow)
 
The lesion in left temporal lobe appears hypointense on FLAIR with surrounding hyperintense white matter edema. (Yellow arrow)
 
The lesions in right parietal lobe demonstrates peripheral rim of blooming, confirming it to be haemorrhagic rim. (Yellow arrow)
 
The lesion in left temporal lobe demonstrates peripheral rim of blooming, confirming it to be haemorrhagic rim. (Yellow arrow)
 
The lesions in right parietal lobe show diffusion restriction on DWI. (Yellow arrow)
 
The lesion in left temporal lobe shows diffusion restriction on DWI. (Yellow arrow)
 
The lesions in right parietal lobe show low value on ADC. (Yellow arrow)
 
The lesion in left temporal lobe shows low value on ADC. (Yellow arrow)
 
 
 
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