Evaluate for new acute CVA. History of lower extremity weakness, numbness. There is an area of cortical and subcortical T2 hyperintensity in the left posterolateral parietoccipital junction with interval volume loss. There is no evidence of intracranial hemorrhage or acute infarct. The pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild unchanged mucosal thickening in the right maxillary sinus. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable.
Encephalomalacia in the left posterolateral parietoccipital junction related to a chronic infarct, but no evidence of acute infarction. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.