87-year-old female status post fall loss of consciousness. Evaluate for bleed There is no evidence of intracranial hemorrhage, mass or edema. Diffuse periventricular white matter hypodensities are consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia and MRI may be consideredThe 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.
1. Diffuse periventricular white matter hypodensities are consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia and MRI may be considered.2. No evidence of intracranial hemorrhage.