Unspecified transient cerebral ischemia [435.9], Reason for Study: ^Reason: RULE OUT STROKE History: Right hand weakness + aphasia No evidence of acute ischemic or hemorrhagic lesion.Patchy high signal intensity on FLAIR images on bilateral periventricular white matter indicate non specific small vessel ischemic disease.There are two extra axial masses, one on the anterior aspect of falx (8.5mm x 6.2mm x 10mm) and another on the left temporal area with broad based on dura (10mm x 5.4mm x 10.1mm) which show low signal intensity on T2 and iso or slightly lower signal intensity on T1 with susceptibility artifacts. Constellation of these findings indicate possible calcification or calcified meningioma. If clinically indicated, Gad enhanced MRI can be considered.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, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Anterior falcine and left temporal area extra axial lesions indicating possible calcified meningioma or calcifications as described above. Gad enhanced MRI can be considered for further imaging evaluation if clinically indicated.