Reason: R/o stroke History: Vision changes R eye, RUE weakness There are multiple new foci of restricted diffusion both supratentorially and infratentorially, distributed bilaterally throughout the cerebellar, frontal, parietal, and occipital lobes, as well as the deep white matter, left thalamus, and right frontal corona radiata. There is corresponding FLAIR hyperintensity. There is evidence of petechial hemorrhage on SWAN images, involving the lesions in the right parietal lobe, bilateral occipital lobes, and right frontal corona radiata. No evidence of frank hematoma. There is FLAIR hyperintensity corresponding to the infarcts.No evidence of mass affect or volume loss out of proportion to patient's age. There is redemonstration of periventricular and subcortical white matter patchy hyperintensity on FLAIR images compatible with mild chronic small vessel ischemic changes. No intracranial mass or mass effect. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Multiple acute infarcts involving the bilateral cerebral and cerebellar hemispheres. Petechial hemorrhages are evident within the infarcts in the right parietal lobe, bilateral occipital lobes, and right frontal corona radiata. No frank hematoma or significant mass effect. Dr. Altman discussed findings with Dr. Neborak at 1540 hrs on 8/4/2015.