Clinical question: Response. Signs and symptoms: Right-sided weakness and aphasia. Unenhanced CT of brain:Examination demonstrates findings consistent with extensive small vessel disease and supratentorial brain parenchyma. Very subtle area of low attenuation of the cortex of the operculum of left temporal lobe and minimally within the insular cortex as was noted on prior MRI is identified. There is no definite interval change since prior exam. Calcification/possible clot of left MCA branch within the left sylvian fissure is again identified.There is no evidence of interval hemorrhage since prior exam. No definitive evidence of any new area of ischemic change.Ventricular system remains a stable cyst prior study.
No definitive evidence of any new findings since prior study.