81-year-old male status post AAA repair, intubated with decreased responsiveness. There is no evidence of intracranial hemorrhage, mass or edema. Small focal decreased hypointensity within the periventricular white matter may represent small vessel ischemic disease, age indeterminate. No evidence of acute intracranial ischemia/infarction; however, CT is insensitive in the early detection of CVA , if there is clinical suspicion for stroke, MRI may be consideredThe ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base demonstrate multiple small ill-defined lucencies concerning for metastatic/metabolic disease. A partial empty sella is present. The visualized paranasal sinuses and mastoid air cells demonstrate mild mucosal thickening.Postsurgical changes of cataract surgery present bilaterally.
No evidence of acute intracranial ischemia/infarction; however, CT is insensitive in the early detection of CVA , if there is clinical suspicion for stroke, MRI may be considered 