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No definite evidence of acute infarct. A small region of white matter hypodensity near the left vertex (medial aspect of precentral gyrus) with preservation of grey-white matter differentiation is most likely consistent with an established infarct. Right temporal lobe hypodensity with ex-vacuo dilatation of the temporal horn of the lateral ventricle and right caudate head hypodensity are consistent with old infarcts. No haemorrhage identified.
Hyperdensity in the left sylvian fissure suggests an acute thromboembolism.