No... keep in mind where she comes from and her living conditions. I will give the answer tomorrow and explain if no one gets it 

Jolanda

Conor Quinn

Acacha Firas

tuberculosis meningitis. is that hyperdense bcs tubercle..?

Yes! One of the main features of TB meningitis is enhancement of the basel cisterns.

wiwid

There are basal enhancements seen on the contrasted CT in an asterix/ star shape.
Dilated ventricles with periventricular hypodensity indicating ongoing inflammation. These findings together with the history tells us that it is TB meningitis 

Mala

xsmall

small

medium

CT-Brain

A 41 year old female patient presenting in the middle of winter with a 2 month history of night sweats and weight loss. She had a seizure 2 hours ago, but no one can give any particulars about the type of seizure. Currently she is complaining of a severe headache that started about 2 days ago. She lives in a rural area in Namibia, Africa, in a 1 room shack with 5 other people, poor ventilation. Diagnosis?

CT-Brain

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