70 year-old female with left upper extremity weakness. Evaluate for stroke. Again noted is a linear hypodensity in the region of the body of the left caudate which appears unchanged when compared to the previous study. This likely represents an old lacunar infarct of indeterminate age. Additional hypoattenuating areas near the right basal ganglia and in the periventricular white matter are again noted which appear unchanged when compared to the previous study. These findings are nonspecific but likely represent mild small vessel ischemic disease of indeterminate age. Additionally, there is severe atherosclerotic changes of the vertebral arteries bilaterally and the cavernous internal carotid arteries.Hypodensity in the high convexity of the right frontoparietal lobe as well as in the right posterior temporal lobe. These findings are age indeterminate but likely represent subacute ischemic infarct in the territory of the right cerebral artery. Further evaluation with MRI is recommended. There is no evidence of intracranial hemorrhage, midline shift or mass. The 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. Hypodensities in the right frontoparietal lobe as well as in the right posterior temporal lobe. These findings are age indeterminate but are consistent with early to late subacute ischemic infarct in the territory of the right cerebral artery. Further evaluation with MRI is recommended if clinically indicated. There is no evidence of intracranial hemorrhage, midline shift or mass. These findings were relayed to Dr. Beverage via direct phone call at the time of dictation.2. Lacunar infarct involving the right basal ganglia which appears unchanged compared to previous study.3. Hypoattenuating areas near the right basal ganglia and in the periventricular white matter which appear unchanged when compared to the previous study. These findings are nonspecific but likely represent mild small vessel ischemic disease of indeterminate age.