Altered mental status, unspecified [R41.82]. Alcoholic cirrhosis complicated by recurrent encephalopathy. The images are degraded by patient motion. There is mild diffuse periventricular T1 hyperintensity, as well as subcentimeter areas of subcortical white matter T2 hyperintensity in the left frontal and parietal lobes. There is no evidence of acute infarct. There appears to be patchy susceptibility effect along the inferior vermis. There is diffuse cerebral and cerebellar volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a right lens implant.
1. Mild diffuse periventricular T1 hyperintensity, as well as subcentimeter areas of subcortical white matter T2 hyperintensity in the left frontal and parietal lobes may represent sequela of prior ischemia, but no evidence of acute infarct.2. Patchy susceptibility effect along the inferior vermis may represent chronic hemorrhage.3. Diffuse cerebral and cerebellar volume loss may be related to alcoholism. 