Well-controlled HIV, treated syphilis, admitted for confusion, dizziness, unsteady gait. Had a fall 1 week ago and again 1 day before admission. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. There is moderate diffuse cerebral volume loss. There is a developmental venous anomaly in the posterior right perisylvian region. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
Diffuse cerebral volume loss and probable chronic mild cerebral white matter disease. No evidence of acute intracranial hemorrhage, mass, or acute infarct.