Other alteration of consciousness [780.09], Reason for Study: ^Reason: r/o stroke History: right-sided weakness There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Bihemispheric scattered several high signal intensities on FLAIR imaging indicate nonspecific small vessel ischemic disease, no change since prior scan.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, 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.3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.
1. No change of nonspecific small vessel ischemic disease since prior scan.2. No evidence of acute ischemic or hemorrhagic lesion.3. Normal brain MRA. 