Unspecified convulsions [R56.9], Reason for Study: ^Reason: eval for acute ischemic stroke, morphology and territory of old CVA, any underlying lesions to explain seizure History: LOC There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Chronic ischemic infarct on the right parietal lobe with encephalomalacia is seen. Multiple lacunar infarcts on the left parietal lobe subcortical white matter, right caudate nucleus head and left external capsule are seen.Multifocal patch and scattered high signal intensity lesions on FLAIR imaging on bilateral periventricular white matter and centrum semiovale indicating nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Right maxillary sinus shows mucosal thickening.
1. No evidence of acute ischemic or hemorrhagic lesion on the scan.2. Chronic ischemic infarct involving right parietal lobe and multifocal lacunar infarcts with nonspecific small vessel ischemic disease.