Diagnosis: AphasiaClinical question: brain ischemiaSigns and Symptoms: aphasia, arm weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 25 x 17 mm axial dimension focus of diffusion restriction present along the lateral aspect of the right precentral gyrus. There is minimal or no associated signal hyperintensity on the associated FLAIR MRI.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.Findings are compatible with hyperacute infarction involving the lateral aspect of the right precentral gyrus. Findings were reported to Dr. Brorson at the time of exam.