Other general symptoms(780.99) [780.99], Reason for Study: ^Reason: r/o acute ischemia History: word finding difficulty transient No evidence of acute ischemic or hemorrhagic lesion.Patch high signal intensities on periventricular white matter as well as scattered high signal intensities on white matter bilaterally indicating nonspecific small vessel ischemic disease.There are multifocal small tissue losses especially bilateral basal ganglia indicating chronic ischemic lacunar infarcts.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, or restricted diffusion/acute ischemia. 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.Nonspecific small vessel ischemic disease with multifocal chronic lacunar infarcts.