Male, 88 years old, with right lower extremity weakness and speech difficulty. Several small scattered foci of mild diffusion restriction are seen involving the left corona radiata and left insular cortex with questionable additional foci in the left middle frontal gyrus and frontal operculum.No evidence of parenchymal mass effect is seen. No intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. Patchy periventricular T2 hyperintensity is seen, a nonspecific finding which most likely reflects chronic microvascular ischemic disease. The ventricles and sulci are mildly prominent compatible with volume loss.The marrow signal characteristics are unremarkable. Mucosal thickening and secretions are evident within the left maxillary sinus. The mastoid air cells show evidence of opacification.
Scattered foci of mild restricted diffusion are seen involving the left corona radiata and insular cortex, with a few additional questionable foci as above. This is compatible with late acute or perhaps subacute ischemic injury.Discussed with Dr. Cejas at 8:50 AM on 2/9/15.