Hemiplegic CP, R MCA ischemia History: left hemiplegic CP. There is encephalomalacia in the right cerebral hemisphere, mainly involving the right insula and inferior frontal lobe, as well as the anterior part of the right occipital lobe, with associated ex vacuo dilatation of the right lateral ventricle. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Chronic right middle cerebral artery territory infarction.