Altered mental status, unspecified [R41.82] / Disorientation, unspecified [R41.0], Reason for Study: ^Reason: 77F with vascular disease, prior CVA, acute change in MS. No evidence of acute ischemic or hemorrhagic lesion on the scan.Patchy bi-frontal white matter high signal intensities on FLAIR and T2-weighted imaging are redemonstrated, no change since prior scan.There is no mass lesion on this scan.Post cataract surgery status on the right eye lens and possible prior retinal detachment change on the left orbit, no change since prior scan.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 mastoid air cells are clear.Minimal mucosal thickenings on the right ethmoid sinus and bilateral maxillary sinuses.
No evidence of acute ischemic or hemorrhagic lesion.Bifrontal white matter lesions, no change since prior scan.