36-year-old female status post bleach ingestion, aspiration, ARDS, prolonged intubation, sedation, paralysis. Now awake, extubated, alert with right-sided upper and lower extremity weakness. Anticoagulated for PE. Please evaluate for ischemic change. There is no evidence of intracranial hemorrhage, mass or edema. Focus of hypodensity within the left internal capsule and thalamus suspicious for acute ischemia. MRI is recommended for further evaluation, if clinically warranted.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized mastoid air cells are normally pneumatized. Bilateral maxillary sinuses demonstrate layering fluid which may be due to acute sinus disease. The remainder of the paranasal sinuses are normally pneumatized.
Hypodensity within the right thalamic and internal capsule region suspicious for stroke. MRI is recommended for further evaluation, if clinically warranted.