Encephalopathy: confusion, encephalopathy. Many of the sequences are degraded by patient motion. There is an area of encephalomalacia in the right thalamocapsular junction region with extension into the corona radiata and left frontal lobe white matter, as well as punctate foci of encephalomalacia in the bilateral frontal lobe subcortical white matter and left thalamus, superimposed upon a background of patchy cerebral white matter T2 hyperintensity. However, there is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Scattered chronic infarcts and probable chronic small vessel ischemic disease, but no evidence of intracranial hemorrhage, mass, or acute infarct. 