right facial droop There is high signal intensity on DWI on the left precentral gyrus mid-portion which shows subtle restricted diffusion on ADC map. This finding suggests evolving subacute ischemic infarction. The lesion does not show any evidence of hemorrhagic transformation.There is no other restricted diffusion lesion on this scan.Underlying brain shows multi focal high signal intensities on FLAIR image indicating non specific small vessel ischemic disease.No evidence of abnormal enhancement.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 abnormal contrast enhancement. 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.
Evolving subacute ischemic infarction on the left pre central gyrus mid portion as described above without evidence of hemorrhagic transformation.Otherwise unremarkable.