68-year-old female with stuttering, right arm and chest heaviness, pain. There is no restricted diffusion to indicate acute infarct. Focal T2 hyperintensity in the right posterior frontal lobe, left thalamus, and the left pons are consistent with chronic prior infarcts. Other scattered small foci of T2 hyperintensity in the cerebral white matter suggest chronic small vessel ischemic disease. Previously seen T2 hyperintensity in the right medullary olives indicative of hypertrophic olivary degeneration is no longer clearly appreciated. There is no acute intracranial hemorrhage, mass effect, or midline shift. The ventricles and sulci are normal in size and configuration. There is no evidence of pathologic enhancement.
1.No evidence of acute cerebral infarct as clinically questioned.2.Chronic infarcts in the right posterior frontal lobe, left thalamus, and left pons.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.