MRI EXAMINATION OF THE HEAD
WITH AND WITHOUT CONTRAST
INDICATION FOR
STUDY: Stroke.
FINDINGS: Multiplanar and multisequence
imaging was obtained on the Open MRI at XXXXXXX. The examination shows an area of infarct in
the right parietal region predominantly.
This appears chronic in nature.
There is slight increased signal on the T2 weighted images surrounding
this area of infarct, which also may be chronic, but the possibility of slight
peri‑infarct ischemia cannot be excluded and would recommend clinical
correlation. There are age-related
changes consistent with atrophy and small-vessel ischemic disease. There also appears to be an old area of
infarct in the posterior left temporal and occipital region. There is concern for an area of ischemia on
the left in the temporal lobe seen from images 7 through 9 of series 7, on
image 10 of series 6, and on image 4 of series 2. This appears to represent an area of subacute
ischemia most likely. It does not appear
to represent an area of bleed. There are
no extraaxial fluid collections. There
is no midline shift or herniation. The
remainder of the brain parenchyma shows no abnormal enhancement and does show
slight age-related changes as does the posterior fossa region, but no other
acute abnormality.
IMPRESSION: An area of subacute ischemia noted
in the left temporal regions somewhat anteriorly as discussed. Old areas of infarct in the right parietal
region and posterior left temporal and occipital region. Age-related changes. No other significant abnormal
enhancement. There is slight enhancement
in the area of subacute ischemia along the gyri and sulci, which may suggest
somewhat an embolic event and would recommend clinical correlation. There is no significant extraaxial fluid
collection or bleed otherwise identified.
Please see comments above. Would
recommend correlation with any prior studies.
A preliminary report was discussed with Dr. XXXXXXX at the time of
evaluation.
Thank you for the referral.
XXXXXXX
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