Altered mental status, unspecified [R41.82] / Unspecified abnormalities of gait and mobility [R26.9], Reason for Study: ^Reason: r/o infection, structural lesion History: altered mental status, headaches No evidence of acute ischemic or hemorrhagic lesion.Patchy scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter and pons are nonspecific, these are likely 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.
1. Nonspecific small vessel ischemic disease as described above.2. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.