Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: TIA/stroke History: R face droop dysarthria There are a couple of punctate restricted diffusion lesions on the left frontal lobe precentral gyrus and left parietal lobe post central gyrus without evidence of hemorrhagic conversion.Lacunar infarctions seen on bilateral basal ganglia.Underlying brain shows patchy and scattered high signal intensity lesions on bilateral periventricular white matter and centrum semiovale indicate non specific small vessel ischemic disease.There is no evidence of hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.There is a small retention cyst on the right maxillary sinus.
1. Acute ischemic infarctions on the left precentral and post central gyri without evidence of hemorrhagic transformation.2. Redemonstration of multifocal scattered non specific small vessel ischemic disease and lacunar infarctions.Findings were discussed with Dr. Trueger of ER at the time of this dictation.