62 year-old female with altered mental status and history of multiple sclerosis. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage, mass or edema. Extensive white matter changes are stable when compared to previous examination. No evidence of cortical stroke. If there is clinical concern for acute ischemia an MRI may be considered. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Stable, extensive white matter changes. If there is clinical concern for acute ischemia an MRI may be considered.