Clinical question: Stroke. Signs and symptoms: Stroke. Unenhanced CT of brain:Examination demonstrate findings consistent with a small vessel disease of indeterminate age. No definitive interval change is detected. Focal area of low-attenuation in the left paramedian pons is believed to represent a lacunar infarct of indeterminate age. This finding may have been present on the prior exam. Please correlate with clinical history and follow-up with an MRI.There is no evidence of hemorrhage or acute cortical stroke. Cortical sulci, ventricular system and all CSF cisterns remain within normal for patient stated age.
1.No evidence of hemorrhage, mass effect or midline shift.2.No definitive acute intracranial stroke.3.Findings consistent with small vessel disease of indeterminate age..