Evaluate for findings consistent with toxoplasmosis given positive test and undergoing treatment. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse cerebral white matter T2 hyperintensity bilaterally. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There are mild scattered paranasal sinus secretions and there is fluid within the bilateral mastoid air cells. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. No evidence of intracranial toxoplasmosis or tumor. 2. Diffuse cerebral white matter T2 hyperintensity bilaterally may be treatment-related. 3. Nonspecific fluid within the bilateral mastoid air cells, which may be related to intubation.