61-year-old female with altered mental status and elevated filling pressures on tap. Evaluate for metastasis, edema, or hydrocephalus. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular and subcortical white matter T2 hyperintensity which is nonspecific but likely related to chronic small vessel ischemic disease. There is no evidence of abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Limited exam secondary to motion from patient discomfort and early termination of the study. Within these limitations, there is no evidence of acute intracranial hemorrhage, mass, acute infarct or hydrocephalus. Mild chronic likely small vessel ischemic disease is seen.