There is restricted diffusion in both thalami and the left side of the midbrain due to acute ischemia. These lesions are also bright on the FLAIR sequence.
There are multiple old ischemic lesions in the left MCA territory and the frontal lobe on the right side (ACA territory). Around the ventricles and in the semioval center high FLAIR signal suggests chronic hypoperfusion.
In the right parietal lobe, a partial sclerotic parafalcial meningioma is seen.