Disorientation, unspecified [R41.0], Reason for Study: ^Reason: New onset confusion \T\ word finding difficulties, r/o PRES or other cause History: Confusion \T\ word finding difficulties There is no evidence of acute ischemic or hemorrhagic lesion on the scan.There is no evidence of abnormal enhancement.Focal susceptibility artifacts on the left posterior temporal lobe without evidence of surrounding edema or enhancement is seen which indicate either parenchymal calcification or chronic petechial hemorrhagic lesion.There are various sized lacunar infarcts on the bilateral basal ganglia and thalami.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 paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Multifocal lacunar infarcts as described above.3. Nonspecific small vessel ischemic disease.