69-year-old African-American male with history of hypertension and multiple myeloma. Presents with left-sided weakness for 24 hours. There is a moderate for stroke or hemorrhage. Patchy periventricular and subcortical areas of low-attenuation are consistent with small vessel disease of indeterminate age. A very small area of cortical lucency in high convexity right parietal may represent a nonhemorrhagic small acute cortical stroke (axial image 20 and 21. An MRI examination is recommended for further evaluation.
Unless a small doses of indeterminate age. Suspect a small nonhemorrhagic cortical stroke in right parietal lobe.