Male, 72 years old, history of right MCA stroke, now with possible lacune and seizures. No restricted diffusion is seen to suggest the presence of acute ischemia. Encephalomalacia is again seen involving the right perirolandic cortex and the underlying white matter compatible with a chronic MCA distribution stroke. Patchy periventricular T2 hyperintensities are noted, a nonspecific finding but most likely representative of chronic microvascular ischemic disease. Mild chronic hemosiderin staining of the right MCA infarct region is seen. Otherwise, no significant intracranial hemorrhage is detected. No abnormal collections are seen. The ventricles are mildly prominent but stable in size and morphology.
1.No acute ischemia or other acute intracranial process.2.Chronic right MCA distribution stroke involving the perirolandic gyri and underlying white matter.3.No additional findings are seen to account for the patient's symptoms.