acute mental status change, prior stroke history. Motion artifacts degraded exam quality.No evidence of acute ischemic or hemorrhagic lesion on this scan.High signal intensities on FLAIR images are seen on right frontal lobe, right temporal lobe, right basal ganglia,and right thalamus with volume loss indicating prior infarctions. The right cerebellar hemisphere also shows focal tissue loss indicating chronic infarction.Underlying brain shows patchy high signal intensity lesions on periventricular white matter on FLAIR images indicating non specific small vessel disease. No change since prior exam.The ventricles, sulci and cisterns are 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 paranasal sinuses and mastoid air cells are clear.
No evidence of acute ischemic or hemorrhagic lesion on this scan.Multifocal chronic infarction with encephalomalacia involving right frontal lobe, right temporal lobe, right insular, right basal ganglia, right thalamus and right cerebellar hemisphere as described above.Non specific small vessel disease, no change since prior exam.