Reason: Ischemic stroke History: left arm ataxia MRI BRAIN:There is no evidence of intracranial hemorrhage, mass, or acute infarct. Scattered periventricular and subcortical T2 hyperintensities without diffusion restriction are nonspecific but most likely related to chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull and scalp soft tissues are grossly unremarkable. The paranasal sinuses are unremarkable. Small Thornwaldt cyst is incidentally noted in the nasopharynx.
Mild chronic small vessel ischemic disease without acute stroke.