Left sensory stroke, likely lacunar. There is an apparent punctate area of mildly restricted diffusion and T2 hyperintensity in the posterior right thalamocapsular junction region. Otherwise, there is mild scattered cerebral white matter T2 hyperintensity without corresponding restricted diffusion, which likely represents chronic small vessel ischemic disease. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a small amount of fluid within the right mastoid air cells.
An apparent punctate area of mildly restricted diffusion and T2 hyperintensity in the posterior right thalamocapsular junction region likely represents an early subacute lacunar infarct. 