 There is diffusion restricted focus in the left occipitoparietal lobe. Multiple diffusion restricted foci are seen in the cingulate gyrus bilaterally, in the bilateral caudate nucleus and in both frontal lobes. Scattered punctate susceptibility foci are seen in the bilateral thalami and the left basal ganglia which are suspicious for either petechial hemorrhage or mini-calcification.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
1. Findings are consistent with acute ischemic infarction in the left occipitoparietal lobe, bilateral caudate nucleus, and in both frontal lobes. There is no evidence of hemorrhagic conversion.2. Scattered punctate susceptibility foci are seen in the bilateral thalami and the left basal ganglia which are suspicious for either petechial hemorrhage or mini-calcification.