Intermittent right greater than left weakness (upper and lower extremities) with LOC, and concern for top of the basilar syndrome. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a punctate focus of susceptibility effect in the left caudate head, which may represent a chronic microhemorrhage. There are also minimal nonspecific foci of cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.MRA: There is no evidence of significant steno-occlusive lesions or aneurysm within the limits of MRA.
1. No evidence of acute intracranial hemorrhage, acute infarction, or mass lesions.2. No evidence of significant steno-occlusive lesions or aneurysm within the limits of MRA.