Left sided weakness. There is extensive predominantly gyriform restricted diffusion in the right frontal and parietal lobes, as well as the posterior right insula. There is also a punctate focus of restricted diffusion in the inferior left basal ganglia. There is encephalomalacia in the left parietal lobe. The ventricles and basal cisterns are unchanged 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.
The limited MRI demonstrates a recent infarct in the right middle cerebral artery territory, a punctate inferior left basal ganglia recent infarct, and chronic infarction in the left parietal lobe.