Clinical question: evaluate for extension of CVA signs and symptoms: Dysphagia Nonenhanced CT of brain: Bilateral cerebellar strokes with no evidence of hemorrhagic conversion.Multiple supratentorial subcortical and periventricular white matter low attenuation consistent with patient's known prior strokes remains similar. There is a small left parietal nonhemorrhagic cortical stroke since prior exam. This may represent extension of the previously noted stroke or a new cortical stroke. Review of prior MRI examination demonstrated a small cortical stroke at this site on 8 -- 10 -- 2010.No evidence of intracranial hemorrhage, mass effect, midline shift or hydrocephalus.
1.No definitive evidence of any new stroke.2.No evidence of hemorrhagic transformation.3.Better delineation of areas of stroke secondary to further evolution of multiple strokes.