Evaluate for CVA or hemorrhage. Examination demonstrates infarcts in the left parietal lobe. Since prior brain MRI, the infarcts have increased in size. No intracranial hemorrhage, mass, midline shift or abnormal extraaxial fluid collection is identified. The periventricular small vessel ischemic disease and right cerebellar encephalomalacia are again identified. The ventricles are normal in volume and are symmetric.The visualized paranasal sinuses mastoid air cells are normally pneumatized.
1.Interval increase in size of the left parietal stroke with no evidence of intracranial hemorrhage.2.Small vessel ischemic disease and right cerebellar encephalomalacia.