History of recent stroke. Altered mental status. The study is mildly limited by patient motion.There is no acute infarct or acute intracranial hemorrhage. Confluent and patchy T2-hyperintensity in the cerebral white-matter is nonspecific but most likely represent chronic microvascular ischemia. Small foci of more CSF-like signal in the cerebral white-matter, the lateral aspect of the right thalamus and in the left cerebellar hemisphere most likely represent chronic lacunar infarcts. There is no mass-effect, midline shift or brain herniation. The ventricles and the other CSF-containing spaces are mildly expanded, reflecting mild underlying parenchymal volume loss. Major intracranial vascular flow voids are preserved.The orbits are unremarkable. There is trace mucosal thickening in the paranasal sinuses. There is no skeletal destructive lesion. There is a 3.5 cm left suboccipital intermuscular lipoma.
1.No acute infarct or intracranial hemorrhage.2.Moderate cerebral changes of chronic microvascular ischemia and a few chronic lacunar infarcts. If there remains concern for acute ischemic event, MRI brain can be obtained.