Bilateral thalamic foci of Gliosis

14 Yo female for follow up imaging.
MRI BRAIN
T2w and DW images.

Bilateral symmetric thalamic foci of Gliosis.
Possible as a sequel of previous Viral Encephalitis.

(Previous reports: Positive for Weil Felix test with Anti Ox 19 - nil, Anti Ox 2 - 1:16 and Anti Ox k - 1:40 noted)

Cortical border zone infarct

Sequences planned are DW images and Non Contrast Enhanced intracranial Angio performed with 3D TOF.

Left fronto parietal and parieto occipital cortical T2 hyperintensities with restricted diffusion, marked focal cytotoxic odema seems to be the foci of sub acute ischemia along cortical border zone. Left cervical ICA bulbar portion show severe focal stenosis.

Impression:
Foci of recent ischemia along left cortical border zone secondary to left cervical ICA bulbar portion severe focal stenosis.