Diagnosis: Seroma versus abscess in a patient with prior history of multiple cranial infections at the craniotomy site. MRI shows a fluid collection at the anterior aspect of the craniotomy site. Please aspirate and culture.Clinical question: s/p craniotomy on 6/4 now with MRI evidence of fluid collection; evaluate fluid collection Serial CT images obtained during the aspiration procedure demonstrate the needle placement within the fluid collection. Following needle removal images obtained demonstrate no complications . Air was present in the remaining cavity which was aspirated subsequently. The patient is status post left craniectomy with bone graft placement and myocutaneous free flap placement. There is encephalomalacia along the left frontal lobe and left parietal lobe.
Left craniotomy site collection aspiration under CT guidance. Two mL clear straw colored fluid was aspirated from the fluid collection.