17 years Male (DOB:9/27/1998)Reason: anatomic causes or acute changes for change in mental status History: change in mental statusPROVIDER/ATTENDING NAME: GRACE CHONG GRACE CHONG The CSF spaces are appropriate for the patient's stated age with no midline shift. 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 a very small mucous retention cyst the left maxillary sinus and minor opacities in the ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is no evidence for acute ischemic cerebral infarction or intracranial mass lesion and no convincing evidence for MRI findings consistent with hepatic encephalopathy at this time.