82 years Female (DOB:11/22/1934)Reason: stroke, evaluate for presence of any acute ischemic infarct History: slurred speech and word finding difficultiesPROVIDER/ATTENDING NAME: NAVNEET CHEEMA MARK K. FERGUSON The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a punctate focus of signal hyperintensity and diffusion-weighted imaging associated with diffusion restriction on the ADC maps located in the inferior semilunar lobule of the left cerebellar hemisphere. On the T2 images and measures 6 x 2 mm axial dimensionsNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Some punctate foci of signal hyperintensity on T2 and FLAIR MRI are present in the basal ganglia and internal capsules bilaterally as well as the brainstem.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.
1.There is an acute microinfarct involving the left cerebellar hemisphere along the left inferior semilunar lobule. 2.Periventricular and subcortical white matter lesions of a mild to moderate degree and punctate lesions in the brainstem, internal capsules and basal ganglia are nonspecific. At this age they are most likely vascular related. 