Altered mental status. The exam is markedly degraded by patient motion. There appears to be a punctate focus of restricted diffusion in the left paracentral lobule. There is mild nonspecific periventricular white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small left maxillary sinus retention cyst.
The exam is markedly degraded by patient motion. Possible punctate focus of recent infarction in the left paracentral lobule versus artifact. 