Rewrite the following in medical shorthand: reports that on 12/20/2022, he presented to the Beaumont ED after waking up with confusion and slurred speech. He says that at the time, he had numbness/tingling in his hands and he had the worse headache of his life. He says he called his neighbor and spoke gibberish, but he was aware of this fact. He denies ever having any headaches in the past. He notes that this occurred in the setting of significant stress with his relationship, and he said that before this time, he was drinking approximately 1 pint per day of alcohol, which he says he has reduced. However, he still drinks a few drinks per night and more sometimes on the weekends. Additionally, he is an everyday smoker with over a 100-pack-year smoking history.

At the Beaumont ED, he reports that a CT head and EKG were performed, which he believes were unrevealing.

On follow-up with his PCP in February 2022, he was started on aspirin 81 mg daily and atorvastatin 80 mg daily, and laboratory testing was obtained, showing his LDL to be 53 and A1c 6.1. Additionally, he had a CT/CTA head and neck that were unrevealing, and an MR brain with and without contrast showed no evidence of acute/subacute infarcts but did demonstrate a remote left cortical frontal infarct. Additionally, there was a 2 x 1 x 1 enhancing mass within the right internal auditory canal extending into the cerebellopontine angle cistern, likely representing a vestibular schwannoma. Transthoracic echocardiography (TTE) was also obtained by his primary care physician, showing a normal LVEF of 55% and a trivial right-to-left shunt likely secondary to patent foramen ovale (PFO). Use words with all capital letters to highlight key points, but make sure that words with all capital letters appear less than 14 times
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