46 year old female with acute onset of mental status changes; evaluate for mass lesions or bleed There is a hypodense lesion in the right periventricular white matter extending to the centrum semiovale which is nonspecific and age indeterminate. The lesion could be vascular related or may be related to demyelination. MRI may be obtained for further characterization if clinically warranted. There is no evidence of acute intracranial hemorrhage, mass or edema. 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.
Nonspecific hypodense lesion in the right periventricular white matter which is age indeterminate. No evidence of acute intracranial hemorrhage or mass. CT is insensitive for the diagnosis of nonhemorrhagic CVA. MRI may be obtained for further evaluation if clinically indicated.