Worsening right sided weakness. There is an area of restricted diffusion and high T2 signal in the left coronal radiata, which is similar in size as on the prior CT, but larger than on the prior MRI. There are a few scattered foci of nonspecific cerebral white matter T2 hyperintensity, but no evidence of additional areas of restricted diffusion in the brain. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are unremarkable.
A subacute infarct in the left coronal radiata is similar in size as on the prior CT, but larger than on the prior MRI. There is no evidence of hemorrhagic transformation.