Altered mental status. There is no evidence of intracranial hemorrhage or acute infarct. There are subcentimeter right hippocampal fissure remnant cysts. There is mild nonspecific predominantly periventricular cerebral white matter T2 hyperintensity. There is bilateral basal ganglia mineralization. The ventricles and sulci are diffusely prominent due to mild cerebral volume loss. In addition, there is more focal prominence of the left central sulcus and to a lesser extent bilateral frontal convexity sulci. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and paranasal sinuses are grossly unremarkable. There is a subcentimeter nodule in the left temporal scalp, which may represent an inclusion cyst.
Mild nonspecific predominantly periventricular cerebral white matter T2 hyperintensity, but no evidence of acute intracranial hemorrhage or acute infarction.