41 years Female (DOB:10/2/1975)Reason: stroke History: slurred speechPROVIDER/ATTENDING NAME: JAMES AHN MRI of the brainThere are 10 to 15 T2 and FLAIR hyperintense punctate foci along subcortical white matter of the right and left parietal lobes and several more in the frontal lobe subcortical white matter.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.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified. There is fetal origin of the right PCA with a hypoplastic p1 segment. The vertebral arteries are similar in size.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.Punctate lesions in the subcortical white matter of the parietal lobes and to a lesser degree frontal lobes are present which are nonspecific. They are unusual for this age. It could be vascular related