Bariatric surgery history and AMS, high grade fevers, sepsis, and reported seizures. CSF with high WBCs, normal protein, and high glucose. Brain MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is mild fluid signal within the mastoid air cells. There is also fluid within the upper aerodigestive track associated with intubation.Brain MRA: There is no evidence of significant steno-occlusive lesions or aneurysms.Neck MRA: There is no evidence of significant steno-occlusive lesions.
1. No evidence of intracranial abscess or acute infarct.2. No evidence of significant steno-occlusive lesions in the head and neck.