59 years Female (DOB:8/6/1956)Reason: AMS s/p liver transplant. MR Brain w/o to assess for PRES or other CNS pathology per neuro recs History: as abovePROVIDER/ATTENDING NAME: CHRISTINE TROTTER JOHN F. RENZ The CSF spaces are appropriate for the patient's stated age with no midline shift. Since the prior exam T2 and FLAIR signal hyperintensity involving the globus pallidus I has mildly regressed but not resolved.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate partial opacification of the sphenoid sinus as well as some mucosal thickening in the maxillary sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.Susceptibility weighted imaging is degraded by motion artifact. Axial T1 and coronal T2 imaging is degraded by patient motion artifact.
1.Since the prior exam abnormal signal within the globus pallidus I has regressed. This is nonspecific but could relate to a toxic or metabolic process.2.No new lesions are appreciated intracranially.3.Exam is degraded due to patient motion which may obscure more subtle abnormalities.