Clinical question: Subacute stroke in the right ICA signs and symptoms: LLE weakness and left facial droop. Nonenhanced brain MRI:Small focus of restricted diffusion in the posterior limb of right internal capsule measuring at 11-mm consistent with an acute or infarct is noted.Flair and T2 weighted images also demonstrate findings suggestive of mild chronic non-hemorrhagic small vessel ischemic strokes in bilateral cerebral hemispheres and including bilateral basal ganglia however without similar findings in the posterior fossa.The cerebral cortex and cortical sulci remain within normal. Mild prominence of lateral ventricles is noted.Unremarkable calvarium and soft tissues of the scalp. Paranasal sinuses demonstrate mild chronic sinusitis.
1.11-mm acute lacunar infarct of right posterior limb of internal capsule.2.Mild chronic nonhemorrhagic small vessel ischemic strokes.3.Mild chronic sinusitis.