Left sides tingling, numbness. There is a small area of encephalomalacia along the anterior and inferior aspect of the right precuneus. There are a few unchanged scattered punctate foci of T2 hyperintensity in the cerebral white matter. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is an unchanged subcentimeter right choroid fissure cyst. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The pituitary gland appears unremarkable. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
Chronic small right precuneus infarct. No evidence of acute intracranial hemorrhage or new cerebral infarction.