 There is cortical diffusion restriction and T2 hyperintensity within the left precentral gyral cortex as well as an additional focus within the left subcentral lobule cortex. There are scattered additional patchy foci of T2 hyperintensity within the supratentorial white matter that are most compatible with chronic small vessel ischemic disease. There is no evidence of intracranial hemorrhage. There is no abnormal intracranial enhancement. 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 skull and scalp soft tissues are unremarkable. There is a small retention cyst within the right maxillary sinus.
Left precentral gyrus cortical infarct as well as an additional small left inferior subcentral lobule cortical infarct.