PMC6499463_01
(a) Magnetic resonance imaging of the brain illustrating left temporal brain abscess, pachymeningitis, leptomeningitis, ependymitis, and left tympanomastoiditis. (b) Post-surgical changes showing interval drainage of left temporal lobe abscess with decreased amounts of perihilar material in the resection cavity. (c) Interval increase in size of left temporal lobe abscess with small satellite abscesses seen extending to the ependymal surface of the left lateral ventricle
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F1
Stereotactic burr hole aspiration yielded 3 mL of foul-smelling yellow-gray fluid, which was sent for cultures [Figure 1a]. Post-operative MRI demonstrated interval drainage of the left temporal lobe abscess [Figure 1b]. An MRI obtained at this time demonstrated an interval increase in size of the left temporal lobe abscess with small satellite abscesses extending to the ependymal surface of the left lateral ventricle [Figure 1c].