Unspecified cerebral artery occlusion with cerebral infarction The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is stable compared to the prior exam.There is redemonstration of small foci of signal hyperintensity on T2 and FLAIR MRI in the cerebellar hemispheres as well as the brainstem which were also present on the prior exam and remain unchangedThe lateral ventricles are fairly large. The biventricular diameter currently measures 44 mm and previously measured the same.Several punctate foci of a signal loss and susceptibility imaging are present along the left temporal lobe subcortical white matter a couple of which were present on the prior examNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate an opacity in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
1.The exam is stable compared to the July 2014 exam.2.Punctate periventricular and subcortical white matter as well as cerebellar and brainstem lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Old lacunar infarcts are present in the cerebellar hemispheres4.There are several microhemorrhages present in the left temporal lobe subcortical white matter which are nonspecific