Unspecified cerebral artery occlusion with cerebral infarction [434.91], Reason for Study: ^Reason: acute ischemic infarct History: left neglect There are multifocal scattered restricted diffusion lesions on the right frontal and parietal lobes without evidence of hemorrhagic conversion.There are also patchy white matter matter high signal intensity lesions on FLAIR images especially on the right frontal and parietal lobes indicating prior ischemic insults indicating prior ischemic events.Above finding suggest possible underlying right side vascular lesion, thus brain MRA or CTA can be considered for further imaging evaluation.Minimal non specific small vessel ischemic disease on the left hemisphere.Right lateral ventricle is slightly enlarged due to ex vacuo dilatation than the left side.The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.
Multifocal acute ischemic infarctions on the right frontal and parietal lobes without evidence of hemorrhagic conversion. Comment: Since there are evidence of prior ischemic insults, underlying vascular lesion such as focal intracranial arterial luminal narrowing or stenosis may need to be investigated with either brain MRA or CTA.