 There are few small foci of mildly restricted diffusion involving the right postcentral gyrus. There is a possible punctate focus of susceptibility effect in one of the lesions. However, there is no associated mass effect, herniation, or midline shift. There is minimal periventricular T2 hyperintensity, which may represent chronic small vessel ischemic disease. The ventricles and sulci are within normal limits. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. MRA HEAD
1. A few punctate foci of mildly restricted diffusion within the postcentral gyrus are compatible with acute to early subacute infarction, with possible petechial hemorrhage in a lesion.2. No significant steno-occlusive lesions in the head and neck arteries.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.