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CT study of the head reveals no acute abnormalities.
There is loss of substance in the rightsided head of the caudate, anterior putamen and anterior limb of the internal capsule with slight secondary dilatation of the right lateral ventricle, cornu frontale and consistent with infarction in the territory of right recurrent artery of Heubner (RHA).
There is intracranial atherosclerosis of the intraclinoid segment of both internal carotid arteries (ICA).
No further evidence of atherosclerotic disease, no evidence of former surgery.
Bones, paranasal sinuses and mastoid are unremarkable except slight polypoid mucosal thickening in anterior wall of left maxillary sinus.
No acute intracranial abnormality.
Chronic changes comprising lacunar infarction of right recurrent Heubner´s artery territory and
intracranial atherosclerosis of both ICA - correlation with patient history, inherited disposition and various blood test including lipid profile recommended.