AMS. Fever. Evaluate for mass or intracranial hemorrhage. Similar to the brain MRI from 2004, there is extensive parenchymal volume loss, leukomalacia, and stable hydrocephalus. There is no evidence acute intracranial hemorrhage, mass or edema. The calvaria and skull base are radiographically normal. Minimal mucosal thickening is noted in the left maxillary sinus and ethmoid air cells. The remainder of the visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Stable parenchymal volume loss and hydrocephalus with no acute abnormality.