 There are areas of T2 hyperintensity and restricted diffusion involving both grey and white matter structures, including the right basal ganglia, the right insular cortex, the right lateral periventricular white matter, the right posterior temporal lobe, right inferior frontal gyrus, and the right lateral occipital lobe. There is no midline shift or hemorrhagic transformation. There is a subcentimeter hypointense extra-axial lesion along the right frontal convexity, which may represent a meningioma. There is diffuse cerebral volume loss. Mild scattered foci of T2 hyperintensity in the cerebral white matter without restricted diffusion may represent chronic small vessel ischemic disease. There are a few punctate foci of susceptibility effect scattered in the brain parenchyma, which may represent chronic microhemorrhages. There is mild scattered fluid signal in the bilateral mastoid air cells.
Scattered areas of acute infarction in the right middle cerebral artery territory without hemorrhagic transformation or midline shift. 