Kaposi's sarcoma treated with CRT, colostomy, and IVC filter, now with severe sepsis improving, but persistently altered mental status. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral white matter T2 hyperintensity, which may represent chronic small vessel ischemia. There is diffuse cerebral volume loss that is most pronounced in the bilateral medial temporal lobes. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, and scalp soft tissues are grossly unremarkable. There is a fluid level in the right sphenoid sinus. There is right scleral buckling.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Diffuse cerebral volume loss that is most pronounced in the bilateral medial temporal lobes may represent Alzheimer disease. 3. A fluid level in the right sphenoid sinus may represent acute sinusitis.