Weakness [R53.1], Reason for Study: ^Reason: stroke History: stroke There is no evidence of acute ischemic lesion on the scan.There is a focal nodular susceptibility lesion on the left frontal lobe frontal operculum (image #115/230, series #801) without evidence of surrounding edema which may indicate chronic petechial hemorrhage.There is no evidence of acute hemorrhagic lesion on the scan.There is no evidence of abnormal enhancement either.Underlying brain shows scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter indicating nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Mucosal thickenings on bilateral maxillary sinus and sphenoid sinus are seen.
1. No evidence of acute ischemic or hemorrhagic lesion on the scan.2. No abnormal enhancement.3. Nonspecific small vessel ischemic disease.