44 years, Female, with right-sided weakness and dysarthria. Evaluate for ischemic changes. There is restricted diffusion within the mid left posterior frontal/anterior parietal lobe, consistent with acute infarction, with only subtle FLAIR abnormality. There is no evidence of hemorrhagic conversion. There is adjacent sulcal effacement, with no evidence of midline shift or herniation. There is a focus of T2 hyperintensity within the right basal ganglia, which does not restrict diffusion, probable chronic lacunar infarction. An additional punctate T2 hyperintense focus is identified within the right centrum semiovale. The ventricles are within normal limits in size and configuration. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.
1.Restricted diffusion within the mid left posterior frontal/anterior parietal lobe, consistent with acute left MCA territory infarction. No evidence of hemorrhagic conversion. No midline shift or herniation.2.T2 hyperintensity within the right basal ganglia and right centrum semiovale, statistically most likely to represent chronic microvascular ischemic disease.Findings were discussed with Dr. Delbrutto by Dr. Brittany Dashevsky at 11:03 AM on July 18, 2015.