65 years Male (DOB:8/10/1950)Reason: Please eval strokes and age of strokes History: Comatose patientPROVIDER/ATTENDING NAME: JASON T POSTON JASON T POSTON There is abnormally increased signal on T2 and FLAIR MR involving the lateral aspect of the right temporal lobe as well as the right parietal lobe. This is predominantly high signal on ADC map.There is a small focus of encephalomalacia in the left inferior frontal lobe gyrus.The susceptibility weighted imaging is substantially degraded due to patient motion. Many of the other pulse sequences are degraded to a lesser degree due to patient motion. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate some mucosal thickening. The visualized portions of the mastoid air cells are opacified. The visualized portions of the orbits are intact.
1.Abnormal lesion involving the lateral aspect of the right temporal lobe and the right parietal lobe. Lack of diffusion restriction associated with cerebral swelling suggests that this does not represent a subacute infarction. It is possible this represents another entity such as gliomatosis cerebri or cerebritis. Please correlate with the clinical course.2.A small focus of encephalomalacia is present within inferior frontal gyrus. Most likely this is related to prior vascular insult.3.The exam is somewhat compromised due to patient motion which make sure more subtle abnormalities.