Altered mental status. Examination is at least moderately limited by patient motion.There is no evidence of intracranial hemorrhage, mass, or acute infarct. Focal T2/FLAIR hyperintensity involving the right precentral gyrus remain unchanged in comparison with CT, and likely reflects gliosis. Scattered areas of T2/FLAIR hyperintensity in the periventricular and subcortical white matter are nonspecific but compatible with mild chronic small vessel ischemic disease. The ventricles and basal cisterns are mildly enlarged, reflecting underlying global parenchymal volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. Mild mucosal thickening in the maxillary and anterior ethmoid sinuses is nonspecific.
1.Significantly limited examination due to patient motion. There is however no evidence of acute infarct. No intracranial mass effect.2.Focus of FLAIR hyperintensity involving the right lateral precentral gyrus is nonspecific but may represent gliosis from chronic infarct and unchanged since earliest available CT from 2/24/2016.3.Mild chronic small vessel ischemic disease.