 There is an area of restricted diffusion with associated increased T2/FLAIR signal involving the posterior aspect of the left basal ganglia with extension into the left corona radiata compatible with an acute infarct. There is no significant associated mass effect. No additional foci of restricted diffusion are identified. There is a small focus of increased T2/FLAIR signal within the left postcentral gyrus involving the cortex with associated volume loss compatible with encephalomalacia related to chronic infarction. There is a chronic lacunar infarct within the right corona radiata with associated minimal susceptibility artifact compatible trace mineralization or hemosiderin. There are additional punctate and confluent foci of increased T2/FLAIR signal within the periventricular and subcortical white matter which are nonspecific but compatible with mild chronic small vessel ischemic changes. The ventricles and basal cisterns are within normal limits for age. There is no midline shift or herniation. There is trace mucosal thickening within the paranasal sinuses.MRA HEAD
1.Acute infarct involving the posterior left basal ganglia and posterior left frontal periventricular white matter.2.Small chronic infarction involving the left post central gyrus.3.Additional mild chronic small vessel ischemic changes.4.MRA of the head and neck without evidence of significant steno-occlusive lesions.