Case Study #7   1  2  3  4  5  6  7  8  9  10  11  12  13   Diagnostic Imaging - MRI repeated T2 MRI image, axial vascular/meningeal enhancement Fluid attenuated T2 MRI image, axial CSF is dark, edema/inflammation is bright   Diagnostic Imaging - MRI interpretation FINDINGS unilateral temporal involvement on the right T2 hyperintensity in cortical white matter gyral enhancement after gadolinium sparing of basal ganglia vascular and meningeal enhancement cytotoxic edema pattern IMPRESSION …an infectious etiology (encephalitis) should be considered the most likely possibility. This pattern is less likely to be due to an ischemic insult and is unlikely to represent a tumor. Breakpoint #4 How would you proceed at this point?