Dysarthria [784.51], Reason for Study: ^Reason: CVA History: Right sided weakness No evidence of acute ischemic or hemorrhagic lesion on the scan.Encephalomalacia of the left occipital lobe as well as left lingual gyrus with corresponding ex vacuo changes of the left lateral ventricle occipital horn.There are punctate susceptibility artifacts on the left cerebellar hemisphere and bilateral thalamus as well as left occipital lobe indicating possible chronic hemorrhagic foci.Multifocal scattered high signal intensities on periventricular white matter on FLAIR images indicate non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. 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.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Chronic ischemic infarction with encephalomalacia on the left occipital lobe (left PCA territory) as described above.3. Non specific small vessel ischemic disease.