Subdural Empyema Associated with an Apparent Regional Hyperperfusion (Luxury Perfusion)

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A patient with a subdural empyema demonstrated a late arterial “blush” during a 99mTc-pertechnetate cerebral dynamic flow study which “washed out” in the delayed images. Cerebral arteriography and subsequent autopsy documented inflammatory tissue surrounding the empyema, resulting in this scintigraphic pattern.

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