Clinical question: Aphagia, status post TPA. Signs and symptoms: Aphagia Previously noted on MRI examination from 11 -- 16 left thalamic infarct is again identified with no evidence of hemorrhagic transformation. Subtle mass effect by the edema of the stroke on the third ventricle is noted. There is however no evidence of hydrocephalus. No evidence of hemorrhage is detected. No evidence of new findings. Cortical sulci, ventricular system and all CSF cisterns remain within normal.
Subacute nonhemorrhagic left thalamic stroke.