Lethargy. There is moderate patchy cerebral white matter T2 hyperintensity. There are also more focal areas of high T2 signal in the bilateral thalami. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is moderate cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a small frontal scalp hematoma.
1. Probable chronic small vessel ischemic disease and lacunar infarcts in the thalami, but no evidence of acute cerebral infarction, intracranial hemorrhage, or mass.2. Small frontal scalp hematoma.