New onset right sided tremor and weakness, concern for stroke. There are small areas of T2 hyperintensity in the right thalamus and right cerebellar hemisphere. There is a background of mild scattered cerebral white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
CHronic lacunar infarcts in the right thalamus and right cerebellar hemisphere superimposed upon a background of chronic probable small vessel ischemic disease, but no evidence of acute acute infarct.