Clinical question: Rule-out bleed versus ischemia. Signs and symptoms: Dizziness, syncope, intermittent blurry vision. CT of brain without infusion:No evidence of hemorrhage, edema, mass effect, midline shift or hydrocephalus is detected. No definitive evidence of small vessel disease on this non-infused CT of brain as it was noted on prior MRI examination.A small calcific density in the subcortical white matter of the left posterior frontal is noted (axial image 19). The finding may represent a small dystrophic calcification or a small cavernoma. Calvarium is unremarkable. Mastoid air cells and limited view of paranasal sinuses are unremarkable.
Essentially unremarkable CT of brain without infusion. Please see above comments.