Other speech disturbances [R47.89], Reason for Study: ^Reason: stroke History: stroke. Brain MRI:Multiple scattered bihemispheric patchy high signal intensity lesions on FLAIR/T2 images indicating nonspecific small vessel ischemic disease.There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Linear susceptibility lesion with associated encephalomalacia on the posterior inferior aspect of the left thalamus indicating prior hemorrhagic infarction with associated ex focal changes of left lateral ventricle. The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be within normal limits with some irregularities of intracranial arterial system indicating minimal atherosclerotic changes.There is no evidence of significant intracranial arterial luminal narrowing or occlusion. No aneurysm.Bilateral Pcom arteries and Acom artery are patent. Retention cyst on the left maxillary sinus.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Moderate to severe non specific small vessel ischemic disease.3. Normal brain MRA. 