52 years Male (DOB:3/15/1964)Reason: ischemic stroke History: right sided weaknessPROVIDER/ATTENDING NAME: KOUROSH L REZANIA KOUROSH L REZANIA Small foci of diffusion restriction are present along the cerebellar hemispheres with involvement of the inferior aspect of the left cerebellar hemisphere anteromedially and posterior medially as well as smaller foci of diffusion restriction in the medial aspect of the right cerebellar hemisphere and the vermis. Additional foci of diffusion restriction are present along the left caudate nucleus, left putamen small portion of the left insular cortex and punctate foci in the left parietal lobe and frontal lobe. These are associated with T2 and FLAIR signal hyperintense foci. Small foci of susceptibility effect are present along the inferomedial aspect of the left cerebellar hemisphere and along the left external capsule.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There are multiple small foci of subacute infarction involving the cerebellum and left middle cerebral artery territory as detailed above. There are small foci of hemorrhage present in the left external capsule and in the left inferior medial cerebellar hemisphere.2.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 