Female, 62 years old, with right-sided paralysis. Please note that only diffusion, FLAIR and a portion of the MRA sequences could be obtained due to patient discomfort. A 5 mm focus of diffusion restriction is seen within the left precentral gyrus in the region of the hand motor area. No other diffusion restricting lesions are evident. FLAIR images are motion degraded but demonstrate hyperintense foci in the periventricular region. The ventricles are normal in size and morphology. The MRA images demonstrate possible mild narrowing to the cavernous ICAs as well as additional scattered mild areas of narrowing, for example in the basilar artery and possibly the PCAs. Please note that the vertebral arteries are not included within the imaging field.
1.Small acute infarct in the left precentral gyrus centered on the hand motor area.2.Findings compatible with chronic microvascular ischemia.3.Scattered areas of mild vascular narrowing are seen intracranially but there is no high-grade stenosis or frank occlusion detected.