Wednesday, February 19, 2014

Acute Colitis due to Clostridium Difficile

60 year old patient presented with diarrhea and sepsis. CT abdomen showed acute colitis see the images below.




CT abdomen with contrast demonstrates
1 &2)Edema of sigmoid colon wall
3) Diverticula
4&5) Fat stranding, which is another sign of inflammation

Down below, same patient after 5 days of treatment with oral vancomycin showing significant improvement in colitis.


Friday, February 7, 2014

Brain Abscess

Multiple MRI views showing multi-loculated intracerebral and subdural fluid collections with ring enhancing cerebral lesions and dural enhancement.There is associated vasogenic edema and localized mass effect. This elderly gentleman presented with altered mental status which was going on for about a month. Other medical problems included Diabetes and End Stage Renal Disease needinghemodialysis