Right facial droop, right upper extremity and lower extremity weakness There are 2 restricted diffusion areas. The larger one is on the right periventricular white matter extended to the left basal ganglia. There is another small focal restricted diffusion on the right side basal ganglia and external capsule junction area. Both lesions are compatible with acute ischemic infarct. There is no evidence of hemorrhage transformation.On FLAIR images, bilateral patch high signal intensities on periventricular white matter indicate moderate to severe degree nonspecific small vessel disease.The ventricles, sulci and cisterns are symmetric and unremarkable. 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.
Left periventricular white matter acute ischemic infarct and the right basal ganglia focal acute ischemic infarction without hemorrhage transformation as described above.Moderate to severe degree non specific small vessel disease.