Acute mental status changes. History of end-stage renal disease. Now with decreased blood pressure. There is no evidence of intracranial hemorrhage, mass or midline shift. An area of low attenuation in the right parieto-occipital region appears slightly larger than on the prior study and is somewhat well defined. This likely represents an infarct of the indeterminate age. An MRI is suggested for further evaluation. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
No evidence of intracranial hemorrhage. Low attenuation lesion in the right parieto-occipital region is slightly larger than on the prior study. An MRI is recommended for further evaluation.