Reason: left sided weakness History: left sided weakness A small focus of diffusion restriction is present in the right basal ganglia.There is a T2 and flair signal hyperintensity present in the left centrum semiovale. This is associated with some punctate loss of signal in the susceptibility images. This is not associated with diffusion restriction. There are couple of subcortical white matter lesions present. This is not associated with diffusion restriction. It is likely of little clinical significance in isolationThe CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 demonstrate some mild mucosal thickening in the scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Acute phase lacunar infarct in the right basal ganglia2.The findings are suspicious for an old lacunar infarct in the left centrum semiovale.