Clinical question: Acute hemorrhage. Signs and symptoms: Altered mental status x 24 hours. Nonenhanced head CT:No detectable acute intracranial process. CT however it is insensitive for early detection of acute nonhemorrhagic ischemic stroke. The clinical concern persist recommend follow-up with an MRI examination.Mild degree of small vessel ischemic strokes of indeterminate age are evident by subtle periventricular and subcortical low attenuation white matter.The cortical sulci, ventricular system and the CSF cisterns are within normal for patient stated age.Mild large vessel intracranial vascular calcification of the cavernous carotid and bilateral routine post is present.Calvarium, visualized paranasal sinuses and orbits and mastoid air cells are unremarkable.
Mild small vessel ischemic strokes of indeterminate age. CT however it is insensitive for early detection of acute nonhemorrhagic ischemic stroke.