42 years, Male, right hemibody numbness. Evaluate for thalamic stroke. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Minimal scattered foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific. There is no significant parenchymal signal abnormality. Apparent T2 hyperintensity involving the medulla is likely artifactual and demonstrates no corresponding signal abnormality on the FLAIR or diffusion sequences. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved. Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
Brain parenchyma appears within normal limits for age. Specifically, no evidence of thalamic infarct.