53yo F w/ complicated rheum history, CKD, recurrent UTI and multiple hospitalizations with several months of AMS. Septic despite broad spectrum antibiotics. ?Tumor, autoimmune.Signs and Symptoms: AMS: confusion, word recall, weakness, emotional labilityComments: No contrast for this patient. | The CSF spaces are appropriate for the patient's stated age with no midline shift. There is relatively low signal present within the visualized marrow elements of the cervical spine and calvarium and skull base.Exam is degraded due to motion artifact.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 minor opacity in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Examination is somewhat compromised due to patient motion. This may obscure subtle abnormalities.2.There is no evidence for acute ischemic cerebral infarction.3.The marrow signal is diffusely low. There is a nonspecific finding. This can be explained on the basis of anemia, lymphoproliferative disorder, chronic disease or renal osteodystrophy.