86-year-old female with mental status change and fall. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodensities in the periventricular and subcortical white matter distribution consistent with small vessel disease age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. Multiple punctate hypodensities consistent with old lacunar infarcts. Large white matter hypodensity in the distribution of the right posterior cerebral artery consistent with prior stroke.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.
Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered