Clinical question: Sepsis. Signs and symptoms: Altered mental status Nonenhanced head CT:Examination demonstrates no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Low attenuation of white matter of bilateral cerebral hemispheres are within normal for patient stated age of 12 days. Ventricular system remain within normal.Mastoid air cells and middle ear cavities are pneumatized and unremarkable. Calvarium is intact. If clinical concern persists an MRI is recommended.
Negative nonenhanced CT of brain. If clinical concern persist recommend follow-up with an MRI.