Clinical question: Patient DLB and episodes of confusion. Signs and symptoms: Cognitive decline and parkinsonism there Nonenhanced brain MRI:Negative diffusion weighted images.Subtle periventricular and subcortical flair hyperintensity remains is stable since prior exam. Although the findings are nonspecific possibility of mild chronic small vessel ischemic strokes should be considered. Prominence of cortical sulci similar to prior exam. Mildly prominent ventricular system similar to prior exam. The signal void of major intracranial arterial branches are identified.Unremarkable calvarium, orbits, paranasal sinuses and mastoid air cells.
1.No evidence of an acute or new finding since prior exam.2.Mild periventricular and subcortical flair hyperintensities without change since prior exam.3.Mild prominence of cortical sulci and supratentorial ventricular system is stable since prior study.4.Unremarkable calvarium, orbits and paranasal sinuses/mastoid air cells