Clinical question: Patient is aphasic acute the. Evaluate for CVA. Signs and symptoms: As above. Nonenhanced brain MRI:No detectable acute intracranial process and in particular no evidence of acute ischemic stroke.Degraded images due to excessive motion artifact. Within this limitation however the study demonstrate diffuse periventricular and subcortical and minimally of pontine foci of flair hyperintensity which considering patient's stated age likely representing chronic nonhemorrhagic small vessel ischemic strokes of mild degree.There is a slight prominence of cortical sulci and supratentorial ventricular system for age. Correlate with history and risk factors.Signal void of major intracranial arterial branches are identified.Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.
1.No acute intracranial process.2.Findings of mild chronic nonhemorrhagic small vessel ischemic strokes as detailed.