Stroke: left face, arm, and hand sensory change. There is an area of restricted diffusion and high T2 signal in the right lateral thalamus that measures 3 x 12 mm in the axial plane. There is a background of punctate and confluent mild cerebral white matter T2 hyperintensity. There are also small areas of high T2 signal in the left basal ganglia. There is no evidence of intracranial hemorrhage or mass lesions. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Small acute infarct in the right lateral thalamus without evidence of acute intracranial hemorrhage superimposed upon a background of chronic small vessel ischemic white matter disease and lacunar infarcts versus prominent perivascular spaces in the left basal ganglia.