Unspecified cerebral artery occlusion with cerebral infarction. History of stroke and left-sided weakness. There is no evidence of restricted diffusion to suggest acute ischemia. There are punctate foci of susceptibility effect in the right Heschl gyrus and right occipital lobe. There are scattered periventricular and subcortical white matter hyperintensities, particularly in the right parietal periventricular white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening.
1.No evidence of acute infarct or intracranial hemorrhage.2. Nonspecific signal abnormality in the cerebral white matter, particularly in the right parietal periventricular region, which may represent small vessel ischemic changes, among other potential etiologies.3. Punctate foci of susceptibility effect in the right Heschl gyrus and right occipital lobe are also nonspecific, but may represent chronic microhemorrhages.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.