 There are two small chronic infarcts within the left frontal lobe and left superior parietal lobule (including the postcentral gyrus) as well as a slightly larger chronic infarct within the left inferior parietal lobule. There is susceptibility compatible with hemosiderin deposition along the right posterior superior frontal and right precentral sulci.There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is unchanged mild global volume loss. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The distal internal carotid flow voids are absent bilaterally. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
1.No evidence of acute ischemia.2.Chronic infarcts within the left frontal and parietal lobes.3.Absent distal internal carotid flow voids bilaterally compatible with known occlusion. 4.Hemosiderin deposition involving the right posterior frontal lobe sulci likely related to remote subarachnoid hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.