60 years Female (DOB:1/4/1956)Reason: r/ostroke History: right face tinglingPROVIDER/ATTENDING NAME: GREGG M HELLAND JACQUELINE T. BERNARD MRI of the brainThere is diffusion restriction present along the left posterior limb of internal capsule extending to the centrum semiovale measuring 24 x 12 mm axial dimensions. There is associated FLAIR and T2 signal abnormality.There is a punctate focus of FLAIR signal hyperintensity in the right basal ganglia.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.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.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified and is small. The posterior communicating arteries are very small.. The vertebral arteries are similar in size. There is extracranial origin of the right posterior inferior cerebellar artery. The left A1 segment is larger than the right A1 segment.MRA neck:There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries.
1.Acute infarction involving left posterior limb of internal capsule and adjacent centrum semiovale. 2.No evidence for intracranial cerebrovascular occlusive disease.3.No evidence for intracranial aneurysm.4.No evidence for extracranial cerebrovascular occlusive disease.