Transient alteration of awareness [R40.4], Reason for Study: ^Reason: eval for CVA as part of TIA workup History: transient amnesia and RUE weakness No evidence of acute ischemic or hemorrhagic lesion.Redemonstration of chronic left frontal and parietal chronic ischemic infarct with encephalomalacia, no change since prior scan.Multifocal scattered high signal intensities on bilateral periventricular white matter on FLAIR imaging indicate nonspecific small vessel ischemic disease, no change since prior scan.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 restricted diffusion/acute ischemia. 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.
No evidence of acute ischemic or hemorrhagic lesion.No change of left frontal parietal chronic ischemic infarct as well as nonspecific small vessel ischemic disease since prior scan.