 MRI BRAIN:There is restricted diffusion involving the right basal ganglia extending from the right caudate body and extending inferiorly to the medial aspect of the putamen and including the posterior limb of the right internal capsule. There is corresponding T2/FLAIR hyperintensity. No associated susceptibility effect to suggest hemorrhage. No other focus of restricted diffusion. Remainder of the brain demonstrates several scattered foci of T2/FLAIR hyperintensity in the subcortical white matter which are nonspecific. No intracranial mass or mass effect. No hydrocephalus. No extra-axial collections. Paranasal sinuses and mastoid air cells are clear. Calvarium and extracranial soft tissues are unremarkable.MRA BRAIN:The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. The vertebral arteries, basilar artery, and posterior cerebral arteries also are patent with no significant stenosis. No evidence of aneurysms or vascular malformations.MRA NECK:MRA of the neck without contrast is very technically limited but demonstrates no gross occlusion of the bilateral common carotid, internal carotid, or vertebral arteries.
1. Acute infarct involving the right basal ganglia including the right caudate body, medial putamen, and posterior limb of the internal capsule.2. Patent intracranial vasculature. 3. Very limited MRA neck without contrast demonstrates no obvious occlusion of the internal carotid, common carotid, or vertebral arteries in the neck. Dr. Syema Sheikh was notified on 10/2/2015 at 4:40 PM