Unspecified cerebral artery occlusion with cerebral infarction [434.91], Reason for Study: ^Reason: assess for extent of ischemia, R ICA ischemia History: LUE weakness Multifocal various sized restricted diffusion areas on the right frontal, parietal, temporal as well as basal ganglia including the caudate nucleus indicating acute ischemic infarct.On the right cerebellar hemisphere, there is a linear restricted diffusion which also indicates acute ischemic infarct.There is no evidence of acute hemorrhagic lesion including evidence of hemorrhagic conversion.There are localized signal voids of subgaleal area on the right frontal lobe vertex, this is corresponding to multiple calcific densities identified on CT scan.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Right maxillary sinus mucosal thickening with retention cyst.
1. Multifocal acute ischemic infarcts involving right cerebral and cerebellar hemisphere as described above.2. No evidence of acute hemorrhagic lesion including hemorrhagic conversion.