56 years Female (DOB:2/4/1960)Reason: L sided wekaness, slurred speech History: s/p TPA, pls see abovePROVIDER/ATTENDING NAME: FERNANDO D. GOLDENBERG FERNANDO D. GOLDENBERG The CSF spaces are appropriate for the patient's stated age with no midline shift. No foci of diffusion restriction are appreciated.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is some asymmetric subtle difference in the in signal intensity of the right middle cerebellar peduncle compared to the left. This is not confirmed on coronal imaging. There is no clear-cut mass effect associated with this is possible is related to artifact.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 opacities in the sphenoid sinus and left posterior ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is no evidence for acute ischemic cerebral infarction. No intracranial lesion is appreciated which would explain the patient's left-sided weakness and slurred speech.