Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: stroke History: right UE and face weakness There is restricted diffusion area on the left basal ganglia and corona radiata without evidence of hemorrhagic transformation.Underlying brain shows multifocal scattered high signal intensity lesions on FLAIR images on bilateral basal ganglia indicating chronic ischemic lesions as well as non specific small vessel lesions on periventricular white matter.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. 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.
Acute ischemic infarction without evidence of hemorrhagic transformation on the left basal ganglia extended to the left corona radiata.Underlying bran shows multifocal chronic ischemic lesions and non specific small vessel ischemic lesions on FLAIR as described above.