Unspecified diffuse connective tissue disease [710.9], Reason for Study: ^Reason: MCTD Cognitive impairment History: cognitive impairment No evidence of acute ischemic or hemorrhagic lesion.On FLAIR imaging, there are scattered high signal intensities on deep white matter and periventricular white matter indicating 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 paranasal sinuses are clear.There are fluid collections on the right mastoid air cell.
No evidence of acute ischemic or hemorrhagic lesion.Minimal nonspecific small vessel ischemic disease.