New vertigo. There appears to be a punctate focus of restricted diffusion in the medial right occipital lobe. There is no evidence of intracranial hemorrhage or mass. There are numerous scattered foci of T2 hyperintensity in the cerebral white matter. There is also punctate foci of T2 hyperintensity in the bilateral basal ganglia. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a right maxillary retention cyst.
1. An apparent punctate focus of restricted diffusion in the medial right occipital lobe may represent an acute infarct. 2. Chronic lacunar infarcts and/or prominent perivascular spaces in the bilateral basal ganglia. 3. Numerous scattered foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease.Discussed Physician: AMBER TALYN PINCAVAGE at 1 PM on 11/20/15.