 Three punctate foci of T2 hyperintensity in the right cerebral hemisphere are nonspecific. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or abnormal extra-axial fluid collection. No diffusion-weighted abnormalities are identified. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. Trace mucosal thickening of the ethmoid air cells. The paranasal sinuses and mastoid air cells are otherwise clear.
1. No specific findings to account for the patient's altered mental status.2. Several punctate foci of T2 hyperintensity in the right cerebral hemisphere is a nonspecific finding.