55 years Male (DOB:2/23/1961)Reason: stroke code rule out stroke History: as abovePROVIDER/ATTENDING NAME: JAMES J WALTER JAMES J WALTER MRI of the brainThere is a 12x8 mm axial dimension focus of diffusion restriction along the superior aspect of the right cerebellar hemisphere.The CSF spaces are appropriate for the patient's stated age with no midline shift. 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is occlusion of the right SCA at its origin. There is suspicion of thrombus bulging into the basilar artery from the SCA.The anterior communicating artery is identified and is medium size. The right A1 segment is hypoplastic. There is fetal origin of the right PCA with a medium size right p1 segment . The left posterior communicating artery is small. The RVA is hypoplastic.
1.There is occlusion of the right SCA at its origin. There is suspicion of thrombus bulging into the basilar artery from the SCA.2.There is a 12x8 mm axial dimension acute infarction along the superior aspect of the right cerebellar hemisphere.3.Findings were discussed with Tania Rubeiz MD.