54-year-old female history of cardiac arrest and altered mental status. Evaluate for anoxic injury. There is symmetric diffusion restriction demonstrated in bilateral corpus striatum, thalami, posterior parietal and occipital lobes, as well as the pre and post central gyri compatible with hypoxic ischemic injury. There is subtle associated increased T2 signal abnormality especially in the basal ganglia and thalami. There is mild effacement of bilateral occipital sulci. No evidence of intracranial hemorrhage. There is no significant midline shift. Normal vascular flow voids are present within the intracranial vessels. There is a moderate amount of fluid in bilateral maxillary sinuses and mastoid air cells. The orbits are unremarkable.
Findings compatible with acute hypoxic ischemic injury.