90 ear old female with history of asthma, recent onset of dizziness and feeling faint, likely cardiac/asthmatic etiology. Rule out cerebellar stroke. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodensities within a periventricular and subcortical distribution with multiple patchy hypodensities consistent with old lacunar infarcts and small vessel disease. If there is clinical concern for acute ischemia, an MRI may be considered.Prominent sulci with proportional ventricular enlargement probably within normal limits for age.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Small vessel disease as described above. If there is clinical concern for acute ischemia, an MRI may be considered.