Weakness [R53.1], Reason for Study: ^Reason: weakness History: weakness There is no evidence of acute ischemic or hemorrhagic lesion.There are multiple chronic lacunar infarcts involving bilateral thalami, bilateral basal ganglia left midbrain and right side lower pons, unchanged since prior scan. Multiple patchy scattered high signal T2/FLAIR intensities on periventricular white matter indicate underlying non specific small vessel ischemic disease, unchanged. Several susceptibility artifacts on the right thalamus, basal ganglia and pons indicating possible chronic petechial hemorrhages or calcifications, unchanged.The ventricles, sulci and cisterns are symmetric and unremarkable.There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Retention cyst in sphenoid sinus, unchanged.
No evidence of acute ischemic or hemorrhagic lesion.Multifocal chronic lacunar infarction, several susceptibility lesions and underlying non specific small vessel ischemic disease, unchanged.