Clinical question: Evaluate for CVA. Signs and symptoms: Left-sided weakness, slurred speech. Non-infused head CT: Examination demonstrate multiple foci of low-attenuation in the periventricular white matter of bilateral cerebral hemispheres. These are highly suspected for areas of encephalomalacia and likely result of small vessel ischemic stroke of indeterminate age. They produce no mass effect and they are not associated with any hemorrhage. There is no detectable acute cortical stroke on this exam. There is no evidence of hemorrhage, midline shift or hydrocephalus. Please correlate with history and if clinically desired an MRI examination is recommended.
Small vessel disease of indeterminate age.