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CT scan of the patient's head. A) Baseline axial CT image through the cerebral deep gray nuclei shows symmetric, normal gray-white matter distinction without focal cerebral lesions. B) Axial CT image obtained during the recent hospitalization. Image through cerebral deep gray nuclei shows subtle hypodensity infiltrating the thalami, internal capsules, and adjacent globi pallidi (arrows) consistent with edema in the setting of metabolic decompensation.
