 MRI BRAIN:There are several foci of FLAIR/T2 signal abnormality with diffusion restriction in the pre-and postcentral gyri on the left as well as the precentral gyrus on the right. Additionally, regions of diffusion restriction in the globus pallidi bilaterally. Some of these foci including the globus pallidi bilaterally demonstrates contrast enhancement.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position and there is no evidence of midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Mild to moderate mucosal thickening of the maxillary sinuses bilaterally.MRI CERVICAL SPINE:Alignment is anatomic. Vertebral body heights are well-maintained. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position.
1.Left pre-and postcentral gyri, right precentral gyrus, and bilateral globus pallidi lesions which demonstrate diffusion restriction as well as enhancement. Differential considerations include toxic/metabolic versus hypoxic/ischemic injury.2.No abnormalities within the cervical spinal cord as clinically questioned.