Aphasia and right hemianopsia. The images are degraded by patient motion. There is patchy, predominantly gyriform, high T2 signal and restricted diffusion in the left medial posterior temporal lobe and medial left occipital lobe. There are a few scattered foci of high T2 signal in the cerebral white matter without restricted diffusion. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Acute infarct in the left posterior cerebral artery territory.