Bilateral medial temporal lobe lesions

21 year old male present with two episodes of tonic clonic seizure

PMHx unremarkable for developmental delay.

CSF work up negative for infection.

Imaging with CE-MRI

Possible DDx

• Lesion type: Bilateral medial temporal lobe lesions
• Patient History: Two episodes of tonic-clonic seizures
• Previous Medical History: Unremarkable for developmental delay
• CSF Results: Negative for infection

80+ yo female with known seizure disorder. Fell after having seizure. Only c/o mild HA. Only neuro deficit is slight confusion.

39 yo male shot in the lower leg in the morning, signed himself out of a government hospital due to long wait times. Presented with entry and exit wounds.

Main concerns: Infection and compartment syndrome.

Patient history: Underwent mastoidectomy complicated by neurosurgical trauma presenting with seizures due to BIPP toxicity.

Imaging: Axial chest CT shows an irregular moderate right pleural effusion.

Key points: Pus within the pleural space can be difficult to distinguish on CT, and ultrasound may show complex collections.

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