Clinical question: Acute delirium, no clear precipitant; please evaluate for acute process from recent MRI on 1 -- 29 -- 15 Nonenhanced brain MRI: Examination demonstrate no evidence of an acute or new finding since prior study. Examination re-demonstrate prominence of cortical sulci and mildly of the supratentorial ventricular system as well as cerebellar and vermian folia for patient's stated age of 37 consistent with underlying parenchymal volume loss. There is no evidence of interval change since prior MRI exam from 1 -- 29 -- 15. Signal void of intracranial vasculature is identified.The signal intensity of the intracranial venous sinuses is within normal.Calvarium and soft tissues of the scalp are unremarkable.Images through the orbits and paranasal sinuses as well as mastoid air cells are unremarkable.
1.No evidence of an acute or new finding since prior MRI exam from 1 -- 29 -- 15.2.Findings suggestive of parenchymal volume loss without interval change as detailed.