Diagnosis: Altered mental status, unspecifiedClinical question: altered mental status , Hx of endometrial cancer R/o Encephalitis/ meningitis / infarctionSigns and Symptoms: Altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. No foci of diffusion restriction are present within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Some patchy T2 and FLAIR signal hyperintensities are present in the pons and the lower midbrainNo abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
1.Periventricular and subcortical white matter changes and patchy lesions in the brainstem of a mild degree are nonspecific. At this age they are most likely vascular related. 2.There is no evidence for acute ischemic cerebral infarction. 3.There is no evidence for intracranial mass lesion. 4.There is no MR evidence for meningitis. Please note that lack of MR evidence for meningitis does not exclude meningitis.