CASE HISTORY/CLINIC:
61-year-old HIV-positive patient with severe headache. Condition after decompression of a spinal stenosis and subsequent dorsal and ventral stabilisation.


FINDINGS:
The T2-w and the noncontrast T1-w images show postoperative changes and degenerations, artifacts caused by the metal of the osteosynthesis.
The postcontrast T1-w image shows a lawn-like contrast enhancement ventral to the pons, medulla oblongata and along the cervical spinal cord.


DIAGNOSIS:
Meningitis caused by candida sepsis. Degenerative and postoperative changes in the spinal column.


DIFFERENTIAL DIAGNOSIS:
Bakterial meningitis
sarcoidosis
Meningiosis carcinomatosa
TBC