Right basal ganglia punctate long signal shadow is the head MRI examination results, may be asymptomatic, or may be followed by mild speech disorder, mild hemiparesis and other symptoms. In some people, right basal ganglia punctate long signal can be found in MRI examination of the head, and cerebral ischemia or lacunar cerebral infarction is considered, most of them have no clinical symptoms, and some of them may have lacunar syndrome, such as mild speech disorder, mild hemiparesis, and so on. It is mainly seen in the elderly, and people with risk factors such as hypertension, diabetes mellitus and hyperlipidemia. When a punctate long signal shadow in the right basal ganglia is detected, it is recommended to consult a professional physician for intervention and treatment under the guidance of a professional physician to avoid progression of the disease.