69-year-old female presented with left hand paresthesias, ataxia, and left-sided dysmetria, evaluate for stroke. Please note that the exam is limited by significant motion artifact, with nondiagnostic SWI sequence. There are several foci of restricted diffusion within the right medial occipital lobe and right thalamus. These areas demonstrate some degree of associated T2/FLAIR hyperintensity and are compatible with an acute/subacute right posterior cerebral artery territory infarct. Scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter are consistent with mild chronic small vessel ischemic changes. There is no evidence intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are grossly unremarkable. Redemonstration of partial opacification of the right maxillary sinus.
1. Motion limited exam. Acute to subacute right posterior cerebral artery territory infarct involving the right medial occipital lobe and right thalamus.2. Mild chronic small vessel ischemic changes. The above findings were communicated via telephone to Reza Kanani, MD (Neurology ROC) by Dr. Danial Jilani at 10:45 AM on 12/28/2015.