Transient cerebral ischemic attack, unspecified [G45.9] / Muscle weakness (generalized) [M62.81], Reason for Study: ^Reason: r/o acute stroke History: alterations and weakness There is no evidence of acute ischemic or hemorrhagic lesion on this scan.Patchy FLAIR/T2 high signal intensities on periventricular white matter and centrum semiovale are again seen, unchanged since prior scan.Focal tissue losses indicating multifocal lacunar infarctions are seen on the right cerebellar hemisphere, bilateral basal ganglia and bilateral external capsules.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.Non visualization of bilateral lenses indicating postoperative status.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific chronic ischemic disease, unchanged since prior scan.