 There is restricted diffusion involving the left posterior frontal corona radiata with corresponding flair hyperintensity consistent with acute infarct. Additionally, there are foci of mild hyperintensity on the diffusion sequence with iso-to high ADC values and FLAIR hyperintensity compatible with subacute infarcts. There is moderate degree of flair hyperintensity within the periventricular and subcortical white matter, and to a lesser degree involving the pons,, findings which are nonspecific but most suggestive of chronic small vessel ischemic disease. There two tiny foci of susceptibility in the right posterior frontal lobe which are nonspecific but compatible with chronic microhemorrhages.No intracranial mass or mass-effect is seen. No hydrocephalus. No extra-axial collections. Paranasal sinuses are clear. Partial opacification of the mastoid air cells. Calvarium and extracranial soft tissues are unremarkable.MRA HEAD
1. Acute infarct involving the left posterior frontal corona radiata with additional subacute infarcts in the left frontoparietal corona radiata and centrum semi-ovale.2. Mild to moderate chronic small vessel ischemic disease.3. No evidence of high-grade stenosis involving the intracranial vasculature.