54-year-old male with headache; evaluate for possible bleed There is no evidence of acute intracranial hemorrhage, mass or edema. Patchy nonspecific areas of hypoattenuation are seen in the subcortical white matter which may represent small vessel ischemic disease of indeterminate age. Please correlate with patient history and symptoms. No acute cortical infarct is identified. If high clinical concern for ischemia, MRI may be obtained. Bilateral basal ganglia calcifications.The ventricles and basal cisterns are normal in size and configuration.Sequelae of an old left orbital blowout fracture of the lamina papyracea is noted. Otherwise, the calvaria and skull base are radiographically normal. The visualized paranasal sinuses, mastoid air cells and middle ear cavities are normally pneumatized.
1. No acute intracranial hemorrhage or acute cortical infarct. 2. Likely small vessel ischemic disease of indeterminate age.