left side hemiparess No evidence of acute ischemic or hemorrhagic lesion.There is focal encephalomalacia on the right side of pons which does not show any significant interval change since prior exam.Few scattered high signal intensity lesions on bilateral hemispheres on FLAIR images are non specific, no change since prior exam.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
No evidence of acute ischemic or hemorrhagic lesion.No change of right pontine focal encephalomalacia since prior exam.