67-year-old male with right upper and lower extremity weakness and stenosis of the left internal carotid artery. There are several foci of diffusion restriction in the left frontal, parietal, and occipital lobe watershed zones, with associated high T2 signal. The right cerebral hemisphere and infratentorial structures are intact. There is no evidence of intracranial hemorrhage or mass. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is minimal prominence of the paranasal sinus mucosa.
Multiple punctate recent infarcts involving the left cerebral hemisphere watershed zones.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.