56 years Female (DOB:2/3/1959)Reason: stroke History: aphasiaPROVIDER/ATTENDING NAME: KEME H CARTER AGNIESZKA A ARDELT There is diffusion restriction present along the left putamen and left caudate nucleus with extension into the adjacent left centrum semiovale associated with T2 and FLAIR signal hyperintensity. There is a small focus of susceptibility effect in the left putamen and another one in the right caudate body.Subcentimeter foci of diffusion restriction associated with T2 and FLAIR signal hyperintensity are present in the right middle frontal gyrus and the left cerebellar hemisphere.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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 partly opacified.. The visualized portions of the mastoid air cells demonstrate minor opacities. The visualized portions of the orbits are intact.
1.Subacute infarction is present in the left neostriatum associated with a small amount of blood products.2.Subcentimeter foci of the cerebral infarction is present in the right middle frontal gyrus and in the left cerebellar hemisphere. This suggests multiple embolic event consistent with cardiogenic sulcus.3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific; they are most likely vascular related. 