- Study performed: An MRI of the head was performed (0.4T, Hitachi). The following sequences are provided: Transverse T2, T2*, FLAIR, T1 pre- and post-contrast; sagittal T2, T1 post-contrast and dorsal STIR, T1 pre- and post-contrast sequences. Additionally, transverse and dorsal subtraction images are available.
Large thick walled structure within the right aspect of the oral cavity with T2 hyperintense and T1 hypointense center, crossing the midline.
Hyperintensity of the temporalis, masseter and pytergoid musculature
Centrally hypointense, surrounded by a hyperintense rim, linear structure within the right pytergoid musculature
Marked lateral displacement of the right globe
Swelling of the right eyelid
Hyperintensity of the right rostroventral calvarium
Thickening and contrast enhancement of the right sided meninges and secondary compression of the right cerebrum
T2 hyperintense material within the right tympanic bulla
Retropharyngeal, parotic and mandibular lymph node enlargement and contrast enhancement
Enlargement and contrast enhancement of the zygomatic, mandibular and parotid salivary glands.
Large intraoral abscess
Foreign material in the right pytergoid muscle
Right sided multifocal myosistis
Right rostroventral osteomyelitis of the calvarium
Right sided menigitis
Right sided otitis media
Right sided reactive lymphadenopathy and sialodenitis
- An ultrasound was performed to confirm the presence of the foreign body (image attached shown by asterisk). The foreign body was removed and the patient treated with a long course of antibiotics.
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