Diagnosis: Acute myeloblastic leukemia, not having achieved remission. Altered mental status, unspecifiedClinical question: assess for white matter changes, lesionsSigns and Symptoms: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing 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 scattered opacities. The visualized portions of the mastoid air cells demonstrate minor opacities. The visualized portions of the orbits are intact. There are falcine calcifications present.
There is no evidence for acute cerebral infarction, leptomeningeal disease or intracranial mass. Given the patient's age MRI imaging of the brain is within normal limits.