Patient with vertigo possible cerebral infarction. 82 years old male. Foci of encephalomalacia are present in the left parietal lobe along the left superior parietal lobule and left pre-central gyrus in the left middle frontal gyrus. These correspond to recent foci of infarction identified on the recent MRI exam.A focal hypodensity is present along the left to caudate nucleus corresponding to a prior infarction. Another focus of hypodensity is present left external capsule appearedPeriventricular and subcortical white matter hypodensities are present of a moderate degree.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.Mild atherosclerotic calcifications are present along the distal internal carotid arteries.
1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There is a moderate to marked degree of periventricular and subcortical white matter hypodensity is present which are likely vascular related in a patient this age.3.Foci of encephalomalacia in the left middle cerebral artery distribution correspond to recent foci of infarction identified on the October 2009 exam and the acute phase at that time.