Altered mental status. There is no evidence of acute ischemic or hemorrhagic lesion on this scan.Patchy high signal intensities on bilateral periventricular white matter on FLAIR images indicate nonspecific small vessel ischemic disease.There is a linear encephalomalacia seen on the right basal ganglia indicating prior ischemic infarct. In addition, cortical and subcortical encephalocele on the left parietal lobe which also suggest prior ischemic infarct.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.Moderate to severe degree non specific small vessel ischemic disease.Multifocal chronic ischemic stroke lesions including right basal ganglia and left parietal lobe as described above.