Altered mental status, unspecified [R41.82], Reason for Study: ^Reason: eval for septic emboli, stroke History: few days ago patient became acutely unresponsive and hypercarbic No evidence of acute ischemic or hemorrhagic lesion.Previously seen middle cranial fossa extra-axial lesion located anterior inferior aspect of the left inferior temporal gyrus is not as conspicuous as it was before due to lack of contrast infusion.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Due to lack of contrast infusion, previously seen left middle cranial fossa extra-axial lesion is not as conspicuous as it was before.