Female, 77 years old, with left-sided facial droop. No restricted diffusion is seen to indicate acute ischemia. T2 hyperintensity is seen within the right basal ganglia corresponding to hypoattenuation noted on prior CT. A few additional scattered foci of T2 hyperintensity are present within the cerebral hemispheres which are nonspecific.No evidence of significant parenchymal edema or mass effect is seen. No abnormal extra-axial fluid is detected. No acute intracranial hemorrhage is seen. The ventricles are normal in size and morphology.The facial nerves are not specifically assessed on this examination. However, no significant abnormalities are detected at the CP angles or at the level of the IACs.
1.No definite evidence of acute ischemia is seen. A lesion in the right basal ganglia could represent a chronic or late subacute lacunar infarct.2.A few additional scattered foci of T2 hyperintensity are nonspecific but potentially related to chronic microvascular ischemic disease.3.The facial nerves are not specifically assessed on this examination, though no significant abnormality is suspected at the CP angles or within the IACs.