history of seizure No evidence of acute ischemic or hemorrhagic lesion.There is evidence of right PCA territorial encephalomalacia with susceptibility artifacts within the lesion indicating chronic ischemic infarction with prior hemorrhage. Multifocal bi hemispheric scattered high signal intensities on FLAIR images indicate non specific age indeterminate small vessel ischemic lesions. The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion2. Chronic ischemic infarction with encephalomalacia on the right PCA territory.3. Minimal non specific small vessel ischemic disease.