Alteration of mental status. Evaluate for acute stroke. . Study is degraded by motion.There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are very subtle nonspecific T2 hyperintensities, many in the posterior periventricular white matter, most likely related to chronic small vessel ischemic findings. There is prominence of the extra-axial space around the right cerebellum as compared to the contralateral side, with possible trace chronic subdural hygroma,The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is partial opacification of the right posterior ethmoid sinus.There is partially visualized degenerative changes in the cervical spine with probable spinal stenosis; however, not well evaluated.
1. Motion limited exam. No evidence of acute infarct.2. Mild chronic small vessel ischemic changes.3. Minimal asymmetric prominence of the extra-axial space around the right cerebellum, possibly representing a trace chronic subdural hygroma.4. Partially visualized degenerative changes in the cervical spine with possible spinal stenosis; however this is not well evaluated. Dedicated MRI of the cervical spine may be obtained as clinically indicated.