Dizziness and giddiness [780.4], Reason for Study: ^Reason: any signs of ischemia, infarction, bleed, or mass History: expressive aphasia, ataxia There is a subtle restricted diffusion on the right cingulate gyrus indicating subacute ischemic infarct. There is no evidence of hemorrhage transformation.Underlying brain shows advanced non specific small vessel ischemic disease.Encephalomalacia on the right middle and inferior frontal gyri likely due to prior ischemic infarction. 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, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Mucosal thickening of the left maxillary sinus.
1. Restricted diffusion on the right cingulate gyrus indicating acute or subacute ischemic infarction without evidence of hemorrhagic transformation.2. Advanced non specific small vessel ischemic disease.3. Old ischemic infarction with encephalomalacia on the left middle and inferior frontal gyri. 