Headache(784.0) [784.0] / Delirium due to conditions classified elsewhere [293.0], Reason for Study: ^Reason: Evaluate for evidence of stroke History: HA and confusion 2 days ago Multifocal scattered restricted diffusion lesions on bilateral occipital lobes and posterior temporal lobes as well as bilateral thalami indicating acute/subacute ischemic strokes. There is no evidence of hemorrhagic transformation.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. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.
Multifocal acute/subacute ischemic infarctions on bilateral occipital lobes, posterior temporal lobes and bilateral thalami without evidence of hemorrhagic transformation as described above.Discussed with Dr. E Escue at the time of this dictation. 