Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus

Figure 2

Representative MRI images showing infarcts in the right parietal lobe (blue arrow; images (a), (c), (e), and (g)) and left ventral pons (red arrow; images (b), (d), (f), and (h)). The right parietal lesion shows DWI signal change without corresponding ADC changes, consistent with subacute infarct. The left pontine lesion shows both DWI and ADC signal changes suggesting acute infarct. FLAIR, fluid-attenuated inversion recovery. DWI, diffusion weighted imaging. ADC, apparent diffusion coefficient. T1 POST GAD, T1 postgadolinium.