Clinical question: Patient with acute liver injury, altered mental status. Signs and symptoms: Acute liver injury and altered mental status. Non-infused CT of brain:No evidence of hemorrhage, edema, mass effect or midline shift or hydrocephalus. The gray/white matter differentiation is preserved. The ventricular system are within normal limits and no evidence of compression or midline shift. The basal cisterns remain patent. There is slight paucity of cortical sulci which may be well within normal range for patient's stated age of 28. Calvarium, paranasal sinuses and mastoid air cells are unremarkable. If clinical concern persist follow-up with a CT or an MRI is recommended.
Unremarkable non-infused CT of brain.