55 years Male (DOB:9/2/1960)Reason: 55yom w IDDM, HTN, Rheumatoid arthritis on prednisone and MTX, presenting with right hemibody "clumsiness" having subacute Lt MCA stroke, pls eval age of infarct . pt has central nystagmus and complains of vertigo concern for concurrent brainstem infarct History: see abovePROVIDER/ATTENDING NAME: WILLARD W SHARP ADIL JAVED There is a focus of diffusion restriction present in the left postcentral gyrus associated with punctate focus of diffusion restriction in the left inferior parietal lobule. These foci of diffusion restriction associated with FLAIR and T2 signal abnormalities. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.On susceptibility images are multiple foci of punctate signal loss within the distribution of the area of diffusion restriction.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Findings are compatible with subacute infarction in the left parietal lobe.2.No evidence for brainstem infarction