23 years Male (DOB:7/2/1992)Reason: eval acute cva History: acute cva per head ctPROVIDER/ATTENDING NAME: MARION A HOFMANN-BOWMAN MARION A HOFMANN-BOWMAN MRI of the brainThere is a 32x27 mm focus of diffusion restriction associated with T2 and FLAIR signal hyperintensity present involving the left superior parietal lobule associated with subcentimeter foci of diffusion restriction in the left post central gyrus and the posterior aspect of the left middle frontal gyrus. Punctate foci of susceptibility within the left inferior parietal lobule likely represent petechial blood.The CSF spaces are appropriate for the patient's stated age with no midline shift. 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 medium size. The right posterior communicating artery is relatively small but can be identified. The left posterior cerebral artery has fetal origin. The left vertebral artery is large in diameter compared to the right vertebral artery.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.Subacute infarction involving the middle cerebral artery territory - predominantly left superior parietal lobule with satellite foci of infarction in the left post central gyrus and left middle frontal gyrus. No evidence for intracranial aneurysm.2.No evidence for intracranial or extracranial cervicocerebral vascular occlusive disease.