Clinical question:? Acute intracranial pathology. Signs and symptoms: Altered mental status. Unenhanced CT of brain:The examination demonstrates multiple areas of bihemispheric and right middle cerebellar low-attenuation with subtle associated focal mass effect on the adjacent cortical sulci. These findings were noted on prior MRI exam, however there appears to be worsening of the findings in particular in the supratentorial brain parenchyma. There is no evidence of acute hemorrhage, midline shift or hydrocephalus. There is no change in the normal size of lateral ventricles.
1.In comparison to prior exam there appears to be worsening of findings in bilateral cerebral hemispheres. 2.No evidence of acute hemorrhage, midline shift or hydrocephalus.