Evaluate for bilateral anterior cerebral artery ischemia/hypoperfusion/infarction in the setting of bilateral anterior cerebral artery vasospasm History: Lower extremity, abulia. Severely limited exam.There is an globular area of diffusion restriction in the posterior right frontal lobe corresponding to blood products on recent CT. Additional more punctate focus of diffusion restriction in the right frontal lobe adjacent to the right frontal horn may represent an acute infarct or less likely related to blood products (which is difficult to conclude in the absence of additional diagnostic sequences or hyperdensity on recent CT). Otherwise no acute infarcts including the bilateral anterior cerebral artery territory. Additional findings of intracranial blood products, right parietal craniotomy, left parietal ventriculostomy, and dilated ventricular system better seen on recent CT of 7/11/2016.
Severely limited study. Suspected punctate infarct in the right frontal lobe adjacent to the right lateral ventricle. Otherwise no clear evidence of acute infarction in the ACA territories or elsewhere in the brain.