Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: assess for new stroke History: dysphagia Multifocal restricted diffusion lesions involving right middle frontal gyrus precentral gyrus postcentral gyrus right side insular cortex right temporal lobe as well as left occipital lobe indicating acute/subacute ischemic infarct involving left MCA and the right PCA territories.. There is no evidence of hemorrhagic conversion.Scattered several T2/flair high signal intensity lesions are seen on bilateral periventricular white matter indicating nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Mucosal thickenings with the retention cysts are seen on bilateral maxillary sinus.
1. Left MCA and right PCA territorial acute/subacute ischemic infarct without evidence of hemorrhagic conversion.2. Minimal nonspecific small vessel ischemic disease.