The Clinical Picture

A 60-year-old man with forehead swelling

Brandon Miller, MD
Cleveland Clinic Journal of Medicine February 2016, 83 (2) 95-96; DOI: https://doi.org/10.3949/ccjm.83a.15011

Article Figures & Data

Figures

  • FIGURE 1
    FIGURE 1

    At presentation, the swelling measured 3 by 4 cm. It was warm, erythematous, fluctuant, and tender to palpation.

  • FIGURE 2
    FIGURE 2

    Magnetic resonance imaging at the time of presentation showed fluid collection in the frontal scalp, erosion of the anterior frontal sinus, extension of pus through the posterior portion of the frontal sinus, and enhancement of the adjacent meninges, which is evidence of the spread of infection in close proximity to the brain.

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