Altered mental status, unspecified [R41.82], Reason for Study: ^Reason: ICH History: ICH Brain MRIRestricted diffusion on bilateral inferior parietal lobule with hemorrhagic transformation.There are also scattered restricted diffusion lesions on the right occipital lobe and right periventricular white matter indicating acute ischemic infarction.There are also small lacunar infarction with tissue loss on the right basal ganglia and encephalomalacia with hemosiderin deposition on the left occipital lobe. 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. 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.Brain MRA:3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.No intracranial arterial aneurysm. No intracranial arterial stenosis.
1. Acute/subacute ischemic infarctions with hemorrhagic transformation on bilateral inferior parietal lobules with surrounding edema.2. Scattered small restricted diffusion lesions indicating acute ischemic infarctions on the right periventricular white matter and right occipital lobe.3. Chronic ischemic stroke lesions including right basal ganglia and left occipital lobe as described above.4. Normal brain MRA. 