Parkinson's disease [G20] / Concussion without loss of consciousness, initial encounter [S06.0X0A], Reason for Study: ^Reason: please check for chronic subdural, s/p head injury 1/16, still with headache, please eval SAH, SDH History: headache, c/w prior There is no evidence of acute ischemic or hemorrhagic lesion.Scattered FLAIR high signal intensity lesions on periventricular white matter are again seen, unchanged.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.
Unchanged minimal nonspecific small vessel ischemic disease.No evidence of acute ischemic or hemorrhagic lesion.