Unspecified convulsions [R56.9] / Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: Acute onset R sided facial weakness, RUE weakness, pure motor deficit History: pls see above There is restricted diffusion on the left basal ganglia posterior aspect extends toward periventricular white matter indicating acute ischemic stroke. Since we do not have the gradient-echo images, it is not possible to evaluate hemorrhagic conversion with this image set.On FLAIR images, there are patchy bilateral periventricular white matter high signal intensities indicating underlying nonspecific small vessel ischemic disease.There are also evidence of chronic ischemic infarction with encephlomalacia on the left parietal lobe especially inferior parietal lobule and some superior parietal lobule.The ventricles, sulci and cisterns are symmetric and unremarkable.
Incomplete MR exam.Acute ischemic infarction on the left basal ganglia as described above.Chronic ischemic infarction on the left parietal lobe.