Altered mental status, s/p PEA, difficult to extubate. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular white matter T2 hyperintensity diffusely, which is nonspecific. The ventricles and basal cisterns are unchanged in size and configuration. 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 mild mucosal thickening in the sphenoid sinuses. There is left intraocular silicone oil. There are subcentimeter T2 hyperintense nodules in the bilateral eyelids, which may represent hydradenitis. There is bilateral otomastoid fluid, which is likely related to intubation.
No evidence of acute intracranial hemorrhage, mass, or acute infarct.