Facial numbness, rule out stroke. MR brain: This is a motion degraded exam. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are diffuse periventricular and subcortical white matter hyperintensities which are nonspecific, but most commonly represent chronic small vessel ischemic disease. In addition, there are a few foci of T2 hyperintensities in the pons and basal ganglia representing chronic lacunar infarcts. There are punctate foci of susceptibility effects in the pons and a few scattered right more than and the left thalami, compatible with chronic microhemorrhages.The ventricles and cortical sulci are mildly prominent .There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.MRA brain: No significant or high-grade vascular stenosis. The proximal vessels including circle of Willis appears patent. However, image quality is not adequate to assess for mild stenosis or more distal vascular lesions.
1. No evidence of acute intracranial hemorrhage or acute infarct.2. Chronic pontine and thalamic microhemorrhage. 3. Chronic small vessel ischemic disease, unchanged.4. No significant or high-grade vascular stenosis. Degraded image quality limits evaluation for subtle abnormalities.