Left hand weakness, left face and arm numbness. Evaluate for stroke Redemonstrated chronic lacunar infarct in the right basal ganglia. Minimal periventricular and subcortical white matter T2 hyperintensities compatible with chronic small vessel ischemic changes are also not significantly changed. No restricted diffusion to indicate acute ischemia.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The expected intracranial vascular flow voids are present. Small left maxillary sinus mucous retention cyst, otherwise the paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
No areas of acute ischemia. Stable chronic right basal ganglia lacunar infarct and minimal white matter small vessel ischemic changes.