Reason: r/o CVA History: left sided weakness, numbness, tingling The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Small foci of encephalomalacia are present along the cerebellar hemispheres bilaterally. A small focus of encephalomalacia is present along the left inferior parietal lobule. A small focus of encephalomalacia is present along the right superior parietal lobule.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 demonstrates scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is a low marrow signal present throughout which is a nonspecific finding. It can be seen with younger age.Incidental is partial empty sella.
1.There is no evidence for acute ischemic infarction.2.Small foci of encephalomalacia in the cerebellar hemispheres, left occipital lobe, left inferior parietal lobule and right superior parietal lobule are suspected to be vascular related.3.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They are most likely vascular related, and could be related to vasculitis. Other causes such as sarcoid and demyelination are less likely. They are nonspecific. 