Ataxia, stroke, diabetes type II. 44-year-old female The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hyperdense focus along the lower aspect of the right postcentral gyrus representing a focus of infarction identified and a recent MRI of the brain it measures approximately 3.5 cm by 9 mm in axial dimensions. There is also a small hypodense focus along the left cingulate gyrus extending towards the left paracentral lobule and another smaller one along the left inferior parietal lobule. These are also identified on a recent MRI of the brain . Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. The visualized portions of the paranasal sinuses demonstrate partial opacification of right and middle ethmoid air cells.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits demonstrate a hyperdense left eyeball probably postoperative. It is unchanged since prior exam.
1.The patient has a focus of infarction in the right postcentral gyrus. 2.There are small foci of encephalomalacia along the left cingulate gyrus extending towards the left paracentral lobule and along the left inferior parietal lobule. 3.No evidence for acute intracranial hemorrhage.