 There are many motion artifact that degrades the study. During the study the patient was confused and unable to cooperate. Interpretation is limited. Diffusion images demonstrates high signal in the left posterior limb of internal capsule nucleus that extends to the left cerebral peduncle with no convincing evidence of restricted diffusion in ADC map.There is increased T2/FLAIR signal with corresponding low signal in T1 seen in the right insular cortex extending to the lateral aspect of the precentral gyrus and to the right middle frontal gyrus, and the subcentral lobule, in the distribution of the superior division of the right cerebral artery.There is cortical-based T2/FLAIR high signal in the left occipital pole.There is no evidence of midline shift. Ventricular size is prominent, age related.There is mild to moderate prevascular T2/FLAIR lesions, age related. The sella appears empty.The right eyeball lens is thin. The paranasal sinuses are clear. Mastoid air cells are clear.
1.No convincing evidence of acute cerebral infarction. 2.There is evidence for old infarctions in the left occipital pole and in the distribution of the superior division of the right middle cerebral artery.