Other alteration of consciousness [780.09], Reason for Study: ^Reason: Eval for ischemia, septic emboli, other acute abnormalities History: 5-6 days AMS-- waxing/waning alertness and orientation, transient aphasia Motion artifact degraded the examination quality.There is no evidence of acute ischemic or hemorrhagic lesion.Several localized tissue losses involving right external capsule, bilateral basal ganglia and mid Pons area indicating age indeterminate likely chronic lacunar infarcts.Minimal patch high signal intensities on periventricular white matter on FLAIR imaging indicate nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
No evidence of acute ischemic or hemorrhagic lesion on the scan.Several chronic lacunar infarcts involving right external capsule, pons and bilateral basal ganglia as described above.