Left sided weakness. There is a defect in the right thalamus that measures up to 12 mm. Otherwise, there no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse mild cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Chronic right thalamus lacunar infarct. Otherwise, no evidence of acute infarct, intracranial hemorrhage, or mass.