case_images: PMC5634589_01
case_images: Head CT showing diffuse cerebral edema with ventriculomegaly.
case_images: CRIID2017-4753670.001.jpg
case_images: PMC5634589_01_CRIID2017-4753670.001.jpg
case_images: fig1
case_images: CT of the head was ordered as the patient's mental status continued to decline (Figure 1). CT of the head showed new onset hydrocephalus, leading to a consult being placed with neurosurgery.
case_images: Head MRI showing moderate hydrocephalus and increased T2 flair between the gyri, concerning for meningitis.
case_images: CRIID2017-4753670.002.jpg
case_images: PMC5634589_01_CRIID2017-4753670.002.jpg
case_images: fig2
case_images: Due to the new findings on CT scan an MRI was ordered, which showed subtle increased T2/flair signal interdigitating between the gyri, concerning for leptomeningitis (Figure 2).
case_images: Chest CT scan showing diffuse airspace disease with associated reticular nodular opacities and apparent tree in bud configuration with small cavitary pulmonary nodule noted at the superolateral left lung apex.
case_images: CRIID2017-4753670.003.jpg
case_images: PMC5634589_01_CRIID2017-4753670.003.jpg
case_images: fig3
case_images: CT scan of the chest was ordered due to the persistently abnormal chest X-rays. CT of the chest showed diffuse airspace disease with associated reticular nodular opacities and apparent tree in bud configuration with small cavitary pulmonary nodule noted at the superolateral left lung apex (Figure 3).