# Low Consciousness in a Patient with Pancolitis

## TL;DR

A patient with pancolitis and low consciousness showed a rare MRI brain sign linked to uremic encephalopathy.

## Contribution

Highlights the lentiform fork sign as a potential indicator of uremic encephalopathy in critically ill patients.

## Key findings

- Lentiform fork sign observed in a patient with metabolic acidosis and renal failure.
- The sign correlates with uremic encephalopathy in critically ill patients with low consciousness.

## Abstract

Teaching point: Lentiform fork sign is a rare finding on MRI of the brain, found in patients with metabolic acidosis, in a critically ill patient with low consciousness and renal failure, this sign can correspond to uremic encephalopathy.