56 years Female (DOB:3/7/1960)Reason: Evaluate for ischemia History: slurred speech, R sided weaknessPROVIDER/ATTENDING NAME: KAMALDEEP S HEYER TAO XIE The CSF spaces are appropriate for the patient's stated age with no midline shift. There is T2 and FLAIR signal hyperintensity present within the cortex and subcortical periventricular white matter of the left frontal lobe and more less a watershed distribution. There is associated ex vacuo effect along the left lateral ventricle.There is focal signal loss present along the left posterior limb of internal capsule on susceptibility weighted imaging. There is associated volume loss along the left cerebral peduncle which is compatible with a layering degeneration.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.Encephalomalacia along the watershed distribution on the left frontal lobe is suspected to be related to prior ischemic event.2.There is no evidence for acute ischemic cerebral infarction.