RESULTS

NAME: MAYNE JEFFREY | MR #: 1000298142 | ACCESSION #: MR080010296
DATE OF EXAM: 20080507 | PHYSICIAN: BRASS CORSTIAAN X

MRI Brain imaging w + w/o contrast AT 1216 HOURS | (Report

Addendum: ADDENDUM: Asymmetric hyperdense dural thickening is noted on the right adjacent to the hyperdense focus.
. READ BY............: LESH JR., CHARLES J DICTATED ..........: 05/07/2008 2:29 pm TRANSCRIBED BY.....: 05/07/2008 2:29 pm CJL SIGNED 05/07/2008 2:29 pm ELECTRONICALLY BY..: LESH JR., CHARLES JINDICATION: Dementia, seizures. TECHNIQUE: Multiplanar images of the brain without and with contrast. 19 cc of Multihance administered intravenously. COMPARISON: None. FINDINGS: The ventricles are midline without evidence of hydrocephalus or brain herniation. The area of low attenuation in the right parietal lobe seen on CT corresponds to an area of moderately increased T2 and decreased T1 signal. There is adjacent leptomeningeal and pachymeningeal enhancement with the pachymeningeal enhancement extending around the right temporal lobe and adjacent to the occipital and right frontal lobes. There is a sliver of subdural fluid noted adjacent to the right parietal lobe. There is minimal increased diffusion weighted signal in the right parietal lobe in the area of greatest leptomeningeal enhancement. The adjacent transverse and sigmoid sinuses are patent. There are extensive postoperative changes in the right mastoid air cells. There is no abnormal signal within the remainder of the brain. It is retention cyst noted in both maxillary sinuses. IMPRESSION: Leptomeningitis and pachymeningitis primarily involving the right parietal lobe with cerebritis and probable early abscess formation in the subadjacent right parietal lobe. There are extensive postsurgical changes in the right mastoid air cells that is a possible source of the infection. There is a sliver of subdural fluid adjacent to right parietal lobe. The findings were discussed with the neurosurgical resident caring for the patient at the time of dictation.
. READ BY............: LESH JR., CHARLES J DICTATED ..........: 05/07/2008 2:29 pm TRANSCRIBED BY.....: 05/07/2008 2:29 pm CJL SIGNED 05/07/2008 2:29 pm ELECTRONICALLY BY..: LESH JR., CHARLES J

Transcribed By: : 20080507 : 1429 Approved By: |
| Radiologist: 62939