22-year-old female with altered mental status Redemonstrated is confluent bihemispheric periventricular white matter and centrum semiovale low attenuation indicating nonspecific small vessel ischemic disease, not significantly changed. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses are clear. Redemonstrated is partial opacification of a dependent left mastoid air cell. Note is again made of vascular calcifications.
1.Redemonstrated is confluent bihemispheric periventricular white matter and centrum semiovale low attenuation indicating nonspecific small vessel ischemic disease, not significantly changed. Please note CT is insensitive for the detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation if deemed clinically beneficial.2.No acute hemorrhage.