Altered mental status, unspecified [R41.82], stroke? Infection? Seizure? Mass? Examination is limited by extensive motion artifact. The cortical sulci are in proportion to the cerebral ventricles. The gray-white matter differentiation is preserved. There is no evidence for hydrocephalus. No diffusion abnormality is identified to suggest ischemia. There is no evidence for acute intracranial hemorrhage. Multiple scattered punctate foci of T2/FLAIR hyperintensity are demonstrated in the subcortical and periventricular white matter. There is no midline shift appreciated.
No acute intracranial abnormality. Multiple punctate foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter, greater in number than expected for patient's age. Differential considerations are broad and include demyelinating disease, chronic microvascular ischemic change, and/or inflammatory processes such vasculitis.