Right face arm and leg numbness. There is a focal restricted diffusion on the left medial aspect of the thalamus indicate acute ischemic infarct without evidence of hemorrhagic transformation.There is evidence of chronic hemorrhage on the left anterior aspect of basal ganglia probably adjacent to anteriorly of left internal capsule.There are multifocal variable sized tissue lordosis indicating chronic lacunar infarcts.In addition, multiple high signal intensities on FLAIR imaging on periventricular white matters indicating nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. 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.
Focal acute ischemic infarct, left mesial aspect of the thalamus without evidence of hemorrhagic transformation.Multifocal chronic lacunar infarct with nonspecific small vessel ischemic disease.