 Examination is motion degraded. There are numerous foci of decreased diffusion within the right cerebral hemisphere including the right frontal cortex, subcortical white matter, and corona radiata in a mainly deep watershed distribution, including the right hand motor area. There is also involvement of the right anterior caudate. Few right parietal lesions also seen. In addition, there are also patchy foci of T2 hyperintensity within the left supratentorial white matter without diffusion abnormality, most compatible with chronic small vessel ischemic disease. There is a focus of extra-axial soft tissue along the left parietal convexity with corresponding flair hyperintensity measuring up to 6 mm in thickness.There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The distal right internal carotid artery flow void appears diminutive. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
1. Motion degraded exam which was terminated prematurely. There are mutliple foci of acute infarct involving the right frontal and to lesser extent right parietal lobes in a mainly deep watershed distribution. In addition, the distal right internal carotid artery flow void appears diminutive suggestive of stenosis and could be further characterized with MRA.2. Focus of extra-axial soft tissue along the left parietal convexity with FLAIR hyperintensity measuring up to 6 mm in thickness. Finding is favored to represent a a meningioma but not not well evaluated given motion artifact and absence of contrast. No significant mass effect.Findings of multiple infarcts discussed with Dr. Cejas at 5:10pm on 1/10/15I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.