79-year-old female with left-sided numbness and dysarthria. There is effacement of the gray-white matter differentiation involving the cortex of right insula and portion of the right temporal lobe which is highly concerning for an acute cortical stroke. Further follow-up with an MRI is highly recommended. Minimal small vessel disease is present. No evidence of hemorrhage, midline shift or mass effect is detected.
1.Highly suspected acute right MCA stroke. Further evaluation with an MRI.2.A small vessel disease of undetermined age.3.No evidence of hemorrhage.