Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side [I69.351], Reason for Study: ^Reason: ? stroke History: AMS No evidence of acute ischemic or hemorrhagic lesion.There are multifocal susceptibility lesions especially involving bilateral thalami and basal ganglia indicating possible petechial chronic hemorrhage. In addition, there are multifocal lacunar infarcts involving bilateral basal ganglia as well as left periventricular white matter, left frontal lobe and the left side pons.Relatively smaller left side cerebral peduncle indicate possible Wallerian degeneration.Scattered T2/FLAIR high signal intensities on bilateral periventricular white matter and centrum semiovale indicate associated 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 paranasal sinuses and mastoid air cells are clear.
1. Multifocal bilateral lacunar infarctions with petechial hemorrhages involving bilateral thalami and basal ganglia.2. Suggestive findings of left side Wallerian degeneration.3. Associated small vessel ischemic disease.4. No evidence of acute ischemic or hemorrhagic lesion.