Altered mental status, unspecified [R41.82], Reason for Study: ^Reason: structural lesion? History: seizure No evidence of acute ischemic or hemorrhagic lesion on the scan.Multiple bihemispheric white matter scattered FLAIR/T2 high signal intensity lesions are redemonstrated which are nonspecific, unchanged since prior scan.There is no evidence of abnormal enhancement.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, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion.No abnormal enhancement.2. Nonspecific scattered white matter FLAIR/T2 high signal intensity lesions, unchanged.3. No structural lesion on the scan.