Pansinusitis

Teenager with

nasal congestion for a week who now has a headache, fever, and has become obtunded. Axial (above left and above middle) and coronal (above right) T1 MRI with contrast of the brain shows opacification and rim enhancement of the left ethmoid and frontal sinuses, diffuse enhancement of the left meninges, and subdural fluid collections along the left convexity and falx posteriorly. Axial diffusion weighted (lower left) and ADC (lower right) images show diffuse restriction in the left frontal sinus and parafalcine subdural fluid collections.The diagnosis was pansinusitis with meningitis and subdural empyema.

This image

is part of a series which can be scrolled interactively with the mousewheel or mouse dragging. This is done by using Template:Imagestack. The series is found in the category Pansinusitis Case 001. Pansinusitis in der MRT (T2w axial)