Right-sided weakness, slurred speech, and behavioral changes. There is restricted diffusion involving the left cerebral peduncle, as well as a punctate focus more posteriorly in the left midbrain compatible with acute infarction. The FLAIR images are limited by patient motion. There may also be a punctate focus of high T2 signal in the left frontal lobe white matter, without restricted diffusion. The ventricles are normal in size.
Limited examination with evidence of acute infarction involving the left cerebral peduncle and left midbrain. Findings were text paged to the Neurology resident on call covering pager x4174 at 9:20 am on 1/13/2016.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.