 There is mild to moderate motion degradation with severe motion degradation of some sequences; this limits evaluation for subtle abnormalities. There are multiple new foci of restricted diffusion in the bilateral cerebral hemispheres in the bilateral frontal lobes, corona radiata, genu of the corpus callosum, and bilateral periatrial white matter. There is no definite suspicious intracranial enhancement. There is an old lacunar infarct in the genu of the left internal capsule and the medial left thalamus with ex vacuo dilatation of the left lateral margin of the third ventricle. Compared to 2011 MRI, there is moderate increased volume loss in the interval with further prominence of the ventricles.
1.Motion limited exam with multiple new punctate to small foci of acute infarction and bilateral cerebral hemispheres (right greater than left) as described above. Findings suggest embolic etiology.2.No definite gross suspicious enhancement or mass. 3.Moderate diffuse volume loss which is new from prior MRI in 2011.4.Interval but chronic lacunar infarcts in the genu of the left internal capsule and left thalamus.Findings were discussed with Dr. Laura Gardner over the telephone at 9:50 a.m. today.