Transient alteration of awareness [R40.4], Reason for Study: ^Reason: evaluate for stroke History: R neglect, L gaze, aphasia, R arm drift No evidence of acute ischemic or hemorrhagic lesion on the scan.Mild to moderate brain atrophy with patchy FLAIR high signal intensities on bilateral periventricular white matter and centrum semiovale indicating diffuse bihemispheric nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. 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 and mastoid air cells are clear.
Mild to moderate brain atrophy with nonspecific small vessel ischemic disease.No evidence of acute ischemic or hemorrhagic lesion on scan.