Right facial droop and right lower extremity weakness. There is unchanged curvilinear encephalomalacia in the left basal ganglia and corona radiata. There is no evidence of intracranial hemorrhage, mass, or acute cerebral infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and paranasal sinuses are grossly unremarkable. There is a nodule in the left temporal scalp subcutaneous tissues that displays restricted diffusion and measures up to 15 mm, which likely represents an inclusion cyst. There is a small probable retention cyst in the left sphenoid sinus.
Chronic left basal ganglia and corona radiata infarct, but no evidence of acute cerebral infarction.