84-year-old female with history of hypertension, history of craniotomy with vascular clipping. Presents with aphasia. Rule out acute stroke. Large vessel intracranial vascular calcification is noted. Extensive metallic artifact limiting from the aneurysm clip on the left is again identified which obscures large area of the study. There is a new large area of low-density within the right thalamus and possibly in the right periventricular frontal which are suspected for acute stroke. Further evaluation with an MRI is recommended.No hemorrhage, mass-effect, hydrocephalus or midline shift is present. The above findings were relayed to pager number 3648 at the time of interpretation.
Suspect nonhemorrhagic acute right thalamic and right frontal periventricular white matter infarcts.