85 year-old female with mental status changes. There is no evidence of intracranial hemorrhage, mass or edema. Multifocal patchy areas of diffuse hypoattenuation in the periventricular distribution consistent with small vessel ischemic disease, age indeterminate. There is clinical concern for acute ischemia, an MRI may be considered. No acute cortical stroke is seen.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized mastoid air cells are normally pneumatized. Sinus disease affects the right maxillary sinus.
No acute intracranial abnormality.