68 year old female status post fall 2 weeks ago, headache Low-attenuation in the right frontal and parietal region consistent with prior infarct. Additional subcortical and periventricular areas of patchy low attenuation consistent with small vessel ischemic disease of indeterminant age. There is no evidence of bleed or acute infarct. If evaluation for acute ischemia is clinically warranted, MRI is recommended.There is no evidence of intracranial hemorrhage or mass.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.There is soft tissue density superficial to the right parietal bone which may represent a hematoma in the setting of acute trauma. In the absence of acute trauma, infection should be considered.
Findings consistent with prior infarct in the right frontoparietal region. No evidence of acute ischemic process or hemorrhage. If evaluation for acute ischemia is clinically indicated, MRI is recommended.