Weakness deconditioning. Suspicion for MCA infarct. MRI BRAIN: There is mild diffuse global volume loss. The gray-white matter differentiation is preserved. There are a few scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter which are unchanged. There is mineralization of the bilateral globus pallidus. There is no evidence for acute intracranial hemorrhage. No midline shift or mass effect is appreciated.MRA BRAIN: The intracranial carotids and vertebrobasilar arteries are grossly patent, however additional examination is nondiagnostic due to extensive motion artifact.
1. No acute infarct.2. Stable mild white matter changes likely related to chronic microvascular ischemic disease.3. The intracranial carotids and vertebrobasilar arteries are grossly patent, however detailed evaluation is nondiagnostic due to extensive motion artifact.