Drowsy with slurred speech. Evaluate for stroke or structural abnormality. Examination is motion degraded. There is restricted diffusion in the right occipital lobe. There is no evidence of intracranial hemorrhage or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with chronic small vessel ischemic changes. There is volume loss which is prominent for patient's age. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. Acute infarct in the right occipital lobe.2. Mild chronic small vessel ischemic disease.3. Global parenchymal volume loss which appears mildly advanced for patient's age.Findings discussed with Dr. Reid on 3/28/2015 at 5:50 pm.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.