Female, 58 years old, with altered mental status status post OLT. No evidence of restricted diffusion, parenchymal edema or mass effect is seen. No pathologic parenchymal or extra-axial enhancement is detected.Mild symmetric T1 hyperintensity of the bilateral globus pallidus may reflect manganese deposition from chronic liver dysfunction. Minimal T2 hyperintense rimming of the lateral ventricles is a nonspecific finding and may be within normal limits.No evidence of significant intracranial hemorrhage is seen. A few scattered foci of susceptibility are seen in the cerebral hemispheres compatible with chronic micro-hemorrhage. No abnormal extra-axial fluid collections are detected. The ventricles are normal in size and morphology.The left maxillary sinus is small showing evidence of mucosal thickening or layering secretions.
1.No acute intracranial abnormality.2.T1 signal abnormality in the globus pallidus likely reflects the sequelae of chronic liver dysfunction.3.Findings suggestive of chronic left maxillary sinusitis.