68 years Male (DOB:2/10/1948)Reason: Evaluate for ischemia, possibly underlying mass History: L sided neglectPROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS There is a T2 and FLAIR signal hyperintense lesion associated with diffusion restriction measuring 30 x 37 mm are present along the right inferior parietal lobule and extending towards the adjacent right temporal lobe involving gray and white matter. Another focus of diffusion restriction associated T2 and FLAIR signal abnormality is present along the posterior aspect of the right insular cortex measuring 20 x 6 mm axial dimensions. A few punctate foci of susceptibility effect compatible with petechial blood products are present along the cortex and there appears to be some intravascular enhancement as well as intravascular susceptibility along the involved sulci.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Findings are compatible with late acute/early subacute infarction involving the right inferior parietal lobule, adjacent temporal lobe and posterior aspect of the insular cortex.