Right hemiparesis and facial droop. There is restricted diffusion and high T2 signal and swelling within the left paramedian pons. A punctate focus of restricted diffusion is also present within the left posterior parietal lobe at the gray-white matter junction. There are a few punctate foci of susceptibility effect in the left pons. The ventricles are within normal limits in size and configuration. There are several foci of T2 hyperintensity are present in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with chronic small vessel ischemic changes. There is a left frontal convexity extra-axial mass that measures up to 7 mm in thickness, without compression of the underlying brain. There is diffuse cerebral volume loss. The skull, orbits, and scalp soft tissues are unremarkable.
1. Acute ischemic infarct involving the left paramedian pons and an additional punctate focus of acute infarction within the posterior left parietal lobe at the gray-white junction, with petechial hemorrhagic conversion in the pons.2. A small left frontal convexity mass likely represents a meningioma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.