History ; Left hemiparesis grade III-III+ ,on set 7.00 am.
Findings: The study reveals multiple old infarctions at left lentiform to corona radiate, periventricular white matter adjacent to right occipital horn and right centrum semiovale. -Few old lacunar infarctions at right thalamus and right lentiform nucleuse are noted.
-No intracranial hemorrhage is seen.
- No brain herniation or hydrocephalus is noted
- Generalized brain Atrophy is observed
- Both orbits ,PNSs and Both mastoid air cell are unremarkable. However ,cannot totally excluded of hyperacute infarction in this study (about 2 hrs onset) Please clinical correlation and follow up image if clinical indicate.