Male, 88 years old, status post stroke with pure motor syndrome, right face arm and leg, dysarthria. A gyriform band of restricted diffusion is seen along the lower aspect of the left postcentral gyrus. Questionable minimal diffusion bright signal is seen along the superior margin of the right caudate, but without clear ADC.Moderate patchy periventricular, subcortical and pontine T2 hyperintensity is seen. No evidence of significant parenchymal edema or mass effect is detected. No intracranial hemorrhage or any abnormal extra-axial fluid collection is detected the ventricles sulci mildly prominent compatible with cortical volume loss at this
1.Acute ischemia affecting the lower aspect of the left postcentral gyrus. Equivocal diffusion signal abnormality is seen along the right caudate which may represent a very small region of ischemia or an imaging artifact.2.Moderate chronic small vessel ischemic disease.