Reason: CVA? 72F AML DM HTN c/o new slurred speech, worsening weakness L arm/leg x 3 wk. Also h/o L rotator cuff injury History: transient slurred speech, limp L hand, weakness L arm/leg There are punctate foci of diffusion restriction scattered in the right middle cerebral artery territory located in the right frontal lobe and parietal lobe and to a lesser degree right temporal lobe as well as periventricular white matter. There are several punctate foci of diffusion restriction in the right posterior cerebral artery territory located in the right occipital lobe and periventricular white matterThere is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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. The left eyeball lens is thin.
1.There are multiple punctate foci of cerebral infarction scattered in the right middle and posterior cerebral artery territories2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 