Disorientation, unspecified [R41.0] / Other speech disturbances [R47.89], Reason for Study: ^Reason: MS changes, slowed speech History: slowed speech There is no evidence of acute ischemic or hemorrhagic lesion. There is a focal nodular enhancing lesion on the left parietotemporal subcortical white matter (series #1001, image #21). However, this lesion was not seen on sagittal postcontrast image nor postcontrast 3-D SPGR image. Therefore, this nodular enhancing lesion is likely to be artifacts. In addition, images slices above that lesion area also show artifacts.There is no other evidence of abnormal enhancement on the scan.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, restricted diffusion/acute ischemia, or abnormal contrast enhancement. 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.No evidence of abnormal enhancement.