Type 2 diabetes mellitus with diabetic chronic kidney disease [E11.22] / Chronic kidney disease, unspecified [N18.9], Reason for Study: ^Reason: R/O CVA/Cause of AMS History: AMS Motion artifact degraded image quality.However, there is no evidence of acute ischemic or hemorrhagic lesion on the scan.Scattered high signal intensities on periventricular white matter and centrum semiovale on FLAIR imaging indicate nonspecific small vessel ischemic disease, no change since prior scan.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, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.There are air-fluid levels in the sphenoid sinus indicating sinusitis.
1. Significant motion artifact degraded exam quality.2. No evidence of acute ischemic or hemorrhagic lesion. 3. Minimal to mild nonspecific small vessel ischemic disease.