PMC4771853_01
Computed tomography scan in the axial plane showing exophthalmos and dirty fat (arrow) on the left eye.
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After ophthalmic examination a computed tomography (CT) scan of the orbit was performed and showed left orbital inflammation interpreted as postseptal cellulitis, exophthalmos, and "dirty fat" retroorbitally (Fig. 1).
Computed tomography scan with contrast in the axial plane showing midline shift and a subdural accumulation (arrow) on the left side.
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An acute CT scan of the cerebrum was performed and a subdural accumulation visualized on the left side along with midline shift (Fig. 2).
Computed tomography scan in the axial plane showing swelling of the left hemisphere, empyema, bleeding in the left frontal lobe (arrow), and perifocal edema. The external ventricular drain is visible in the right ventricle.
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Computed tomography scan in the axial plane showing decreased midline shift.
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By hospital day 6, the CT scan (Fig. 4) of the brain showed improvement; decreasing midline shift, increasing depth of sulci, and visible basal cisterns.
MRI in the axial plane showing loss of frontal cortical substance (arrow).
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A control MRI showed loss of frontal cortical substance (Fig. 5).