Right upper extremity weakness and right lower extremity numbness for 1 day There are scattered restricted diffusion lesions on the left side precentral and postcentral gyri without evidence of hemorrhagic transformation. Previously seen left precentral gyrus restricted diffusion lesion is probably embedded in the present restricted diffusion lesions. Left paramedian pontine restricted diffusion lesion is not seen anymore.No change of extensive nonspecific small vessel ischemic disease.No change of multifocal susceptibility lesions on gradient echo images indicating multifocal small bowel hemorrhagic foci since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
New restricted diffusion lesion on the left pre and post central gyri without evidence of hemorrhagic transformation.No change of extensive nonspecific small vessel ischemic disease with the multifocal small hemorrhagic foci since prior scan is described above.