Female, 87 years old, with fluent aphasia. Evaluate for stroke. Patchy restricted diffusion is seen within the left temporal lobe. A punctate focus of restricted diffusion is also seen in the right centrum semiovale.Patchy periventricular white matter and basal ganglia T2 hyperintensity is seen bilaterally. No evidence of significant generalized mass effect is observed.No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricles are slightly prominent which most likely represents parenchymal volume loss.
1.Patchy acute ischemia is seen within the left temporal lobe with a single punctate focus in the right centrum semiovale.2.Sequelae of fairly extensive chronic microvascular and lacunar ischemic disease is seen as well.3.No evidence of generalized mass effect is seen. No acute intracranial hemorrhage is detected.