55 years Male (DOB:7/13/1961)Reason: rule out stroke History: R side weakness, facial droopPROVIDER/ATTENDING NAME: IRA J BLUMEN CHRISTOPHER M GOMEZ MRI of the brainThere is a focus of diffusion restriction measuring 7 x 5 mm axial dimensions located at the posterior limb of the left internal capsule. This associated with T2 and FLAIR signal hyperintensity.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal 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.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified. The posterior communicating arteries are medium-sized. The vertebral arteries are similar in size.The left posterior inferior cerebellar artery has extracranial origin
1.There is an acute lacunar infarct present along the posterior limb of the left internal capsule.2.No evidence for cerebrovascular occlusive disease.3.No evidence for intracranial aneurysm.