Last Week's Medical Mystery

      You are rotating on your radiology rotation and are asked to interpret an MRI (gadolinium enhanced) in a 55-year-old man who is complaining of a persistent headache and pain in his jaw when he eats.
      What is your diagnosis, what test(s) would you order to confirm your suspicions, and what treatment, if any, do you suggest?
DIAGNOSIS: Pachymeningitis.
Because of its excellence, and with his permission, I am posting below the response of Zach DeBerry, class of 2024, who came to an accurate diagnosis and appropriate diagnostic and treatment plans..

Dural thickening (white margin) is evident in this MRI of the brain.

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