Disturbance of skin sensation [782.0], Reason for Study: ^Reason: r/o ischemia History: transient RLE numbness, reflex asymmetry Brain MRINo evidence of acute ischemic or hemorrhagic lesion.Focal tissue loss on the left cerebellar hemisphere indicating small chronic ischemic infarction.Scattered multifocal periventricular white matter high signal intensity lesions on FLAIR images indicate non specific small vessel ischemic disease. The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.Neck MRA3D MRA neck post-gadolinium images with maximum intensity projections of the cervical vasculature demonstrate normal flow enhancement in a normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The vertebral artery origins are normal. There is normal flow enhancement through the bilateral common carotid, carotid bifurcations, internal/external carotid, and vertebral arteries.
1. Non specific small vessel ischemic disease.2. No acute ischemic or hemorrhagic lesion.3. Normal brain MRI and neck MRA. 