Altered mental status, unspecified [R41.82], Reason for Study: ^Reason: Patient with AMS; concern for acute CVA, PRES, any enhancement suggestive of meningitis/encephalitis History: as above No evidence of acute ischemic or hemorrhagic lesion on the scan.Few scattered patchy T2/FLAIR high signal intensities suggest minimal non specific small vessel ischemic disease. 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 mastoid air cells are clear.Mucosal thickening on the right maxillary sinus.
Minimal non specific small vessel ischemic disease.No evidence of acute ischemic or hemorrhagic lesion.