61-year-old female with altered mental status and right facial droop. Evaluate for CVA. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse, mild periventricular hypodensities likely represent small vessel ischemic disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Small vessel disease, age indeterminate without acute cortical stroke.If there is clinical concern for acute ischemia, an MRI may be considered.