69 years Female (DOB:7/13/1947)Reason: stroke? History: ischemia on CT, ams, word finding difficulty, L sided neglectPROVIDER/ATTENDING NAME: AGNIESZKA ANNA ARDELT AGNIESZKA ANNA ARDELT There is diffusion restriction present involving the right parietal lobe including superior and inferior parietal lobules as well as some of the adjacent right temporal lobe at the posterior aspect of the right superior temporal gyrus and the posterior aspect of the right insular cortex. Additional diffusion restriction is present along the right paracentral lobule and posterior aspects of the right cingulate gyrus. These same areas are hyperintense on FLAIR MRI have some adjacent cerebral swelling and leptomeningeal enhancement.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.On susceptibility imaging there is a low signal focus present along the right orbital gyrus associated with surrounding T2 and FLAIR signal hyperintensity as well as some associated T1 signal hyperintensity but no significant contrast enhancement at this timeNormal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Subacute infarction involving the right posterior parietal and angular artery territories as well as part of the callosomarginal artery territory.Is a hemorrhagic focus present along the right orbital gyrus which appears to represent a recent hemorrhage in a typical location for trauma related contusion.