Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: stroke History: stroke Re-demonstration of right MCA restricted diffusion indicate subacute right MCA ischemic stroke.Susceptibility artifacts are seen on the right basal ganglia more on the putamen than globus pallidus with surrounding edema indicating hemorrhagic conversion.Midline shift toward left side at the level of foramen of Monroe is seen (6.1mm) which compared to prior CT scan, no significant interval change.There is calcified nodular lesion based on the inner table of skull at the right high parietal area which may indicate calcified meningioma or simple exostosis. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Opacification of the right maxillary sinus with round signal void lesion indicate possible chronic sinusitis and possible internal hemorrhage, thick mucus ball or associated fungal sinusitis. Clinical correlation is recommended. The left maxillary sinus shows mucosal thickening.
1. Evolving right MCA territorial subacute ischemic stroke with hemorrhagic conversion of the right basal ganglia as described above.2. Sinusitis, bilateral maxillary sinuses, right worse than left.