Diagnosis: Occlusion and stenosis of basilar arteryClinical question: strokeSigns and Symptoms: stroke There is diffusion restriction present along the pons and lower midbrain neural predominantly the right lower midbrain. Small focus of diffusion restriction is present in the left cerebellar hemisphere inferiorly.The basilar artery flow-void is not readily identified.There is T2 and FLAIR signal hyperintensity present in the medulla.The visualized portions of the paranasal sinuses demonstrate mucosal thickening and air-fluid level status post intubation.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Findings are compatible with acute cerebral infarction involving the pons and lower midbrain with a couple punctate foci of an following reduction in the left cerebellar hemisphere inferiorly. There is no evidence for acute intracranial hemorrhage.2.Please refer to yesterday's CT angiogram for status of cerebral vasculature.