63 years Female (DOB:5/27/1953)Reason: stroke syndrome History: 2198PROVIDER/ATTENDING NAME: THOMAS F SPIEGEL KOUROSH A REZANIA There is a area of diffusion restriction present which involves the lateral aspect of the right postcentral gyrus and extends into the right centrum semiovale. There is also involvement of the posterior aspect of the right some central lobule as well as the posterior aspect of the right insular cortex. There is associated T2 and FLAIR signal hyperintensity.A couple punctate foci of T2 and FLAIR signal hyperintensity are present within the thalami bilaterallyThere is a focus of loss of signal on susceptibility imaging within the right dentate nucleus of the cerebellum.There is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Additional T2 and FLAIR MRI signal hyperintense foci are present in the cerebellar hemispheres and brainstem.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 acute infarction involving the lateral aspect of the right postcentral gyrus and adjacent centrum semiovale and insular cortex2.Small hemorrhagic lesion is present in the dentate nucleus of the right cerebellar hemisphere3.Findings are compatible with the old lacunar infarcts involving the thalami.4.Punctate lesions in the brainstem and cerebellum are most likely vascular related at this age.5.Periventricular and subcortical white matter lesions of a moderate degree are nonspecific. At this age they are most likely vascular related. 