Other ill-defined conditions(799.89) [799.89] / Lack of coordination [781.3], Reason for Study: ^Reason: eval for Wernicke's enceph or cerebellar lesion History: ataxia, EtOH abuse Significant motion artifact on post gadolinium enhanced scan especially axial post contrast enhanced scan is nondiagnostic.There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Scattered high signal intensity foci on bilateral periventricular white matter indicate nonspecific small vessel ischemic disease.Focal high signal intensity on the left globus pallidus could represent focal chronic lacunar infarct.Gadolinium-enhanced sagittal scan shows no evidence of abnormal enhancement. However, axial post gadolinium enhanced scan was nondiagnostic.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, restricted diffusion/acute ischemia, or abnormal contrast enhancement. 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. Given limited examination, no definitive evidence of abnormal enhancement on the scan either.3. Nonspecific small vessel ischemic disease, minimal as described above.4. Small lacunar infarct on the left globus pallidus.