Altered mental status, parkinsonian dementia. History of cirrhosis. There is no MR evidence of acute ischemic or hemorrhagic lesion on this scan.On FLAIR images, there are scattered bihemispheric white matter high signal intensity lesions indicating possible nonspecific small vessel ischemic disease.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.
No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Scattered high signal intensity lesions on FLAIR images possible non specific small vessel disease as described above.