Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: stroke History: left neglect There are restricted diffusion lesions on the right frontal, temporal and parietal lobes including posterior aspect of the right insular cortex. There is no evidence of hemorrhagic conversion.Chronic ischemic infarct lesions worrisome performed on the left parietal lobe, mainly on the inferior parietal lobule with evidence of susceptibility lesions indicating hemorrhagic transformation as well as left frontal lobe and posterior temporal lobe chronic ischemic infarct lesions.Minimal scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter indicate non specific small vessel ischemic disease, unchanged since prior scan.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.
1. Acute ischemic infarctions on the right MCA territory without evidence of hemorrhagic transformation as described above.2. Evidence of chronic ischemic infarction with evidence of hemorrhagic transformation on the left MCA distribution.3. Non specific small vessel ischemic disease, unchanged since prior scan.