68 year old male with AMS, hemiplegia. Evaluate for CVA. Many of the standard sequences are motion degraded and therefore fast MRI sequences were obtained. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Again seen is encephalomalacia centered in the right basal ganglia and right subinsular region. There is resultant ex vacuo dilatation of the right lateral ventricle. There is also a chronic lacunar infarct in the left frontal corona radiata. Additional nonspecific periventricular and subcortical white matter T2/FLAIR hyperintensity is visualized. The ventricles and extra-axial spaces are prominent compatible with global volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact.
1.Moderately degraded study due to patient motion. No evidence of acute infarct or intracranial mass effect. 2.Moderate chronic small vessel ischemic disease and global volume loss. 3.Encephalomalacia centered in the right basal ganglia and right subinsular region. 