Evaluate for headaches. Rule out PRES syndrome: History of kidney transplant and chronic headaches. Recent worsening of headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered cerebral white matter T2 hyperintense foci. The ventricles and basal cisterns are normal in size and configuration. The cerebellar tonsils are minimally low-lying. There is no midline shift. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Mild scattered cerebral white matter T2 hyperintense foci are nonspecific, but no suggestive of posterior reversible encephalopathy syndrome.2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.