Headache [R51] / Fever, unspecified [R50.9], Reason for Study: ^Reason: Rule out meningitis/infection, intracranial bleed, CVA History: headaches, fevers, immune suppression No evidence of acute ischemic or hemorrhagic lesion on the scan.There is evidence of chronic ischemic infarct with encephalomalacia on the left MCA territory including left frontal lobe with subtle ex vacuo changes. There are multi focal lacunar infarcts on the left thalamus and bilateral caudate nuclei.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. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Chronic ischemic infarction on the left frontal lobe with multiple lacunar infarcts as described above.No evidence of acute ischemic or hemorrhagic lesion on this scan.No abnormal enhancement.