71 years Male (DOB:7/14/1944)Reason: exclude acute stroke. H/o Afib, old PCA territory stroke, and R SDH s/p burr hole History: new RUE weakness and AMSPROVIDER/ATTENDING NAME: GREGG M HELLAND THOMAS J KELLY There is ventriculomegaly present. There is mild confluent periventricular T2 and FLAIR signal hyperintensity present. There is encephalomalacia present along the right occipital lobe involving the lingual gyrus. This is associated with gyriform susceptibility effect.No foci of diffusion restriction are identified on the current exam.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.A small craniotomy defect is present along the right parietal bone.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.The left eyeball lens is thin.
1.There is no evidence for acute ischemic cerebral infarction.2.There is mild ventriculomegaly present which is a nonspecific finding.3.There is a focus of encephalomalacia in the right lingual gyrus of the occipital lobe.