Unspecified visual disturbance [368.9], Reason for Study: ^Reason: any infarctions? History: left visual field disturbance There are encephalomalacia on bilateral lingual gyri of occipital lobes associated with scattered susceptibility artifacts indicating hemosiderin deposition suggesting prior hemorrhages.There is also gyriform susceptibility artifacts on the right superior frontal sulcus indicating chronic hemorrhagic lesion.Multiple chronic lacunes on bilateral basal ganglia.Underlying brain shows multifocal scattered high signal intensities on FLAIR images on bilateral periventricular white matter indicating non specific small vessel ischemic disease.There is no evidence of acute ischemic or hemorrhagic lesion.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.
1. Chronic ischemic infarction with encephalomalacia on bilateral lingual gyri.2. Non specific small vessel ischemic disease.3. No evidence of acute ischemic or hemorrhagic lesion.