New nocturnal headaches. Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect or midline shift or hydrocephalus.There is also noted definitive evidence of small vessel ischemic disease as was noted on prior MRI exam.There is prominence of cortical sulci and supratentorial ventricular system similar to prior study. This may be begin or more range for patient's stated age of 89.Calvarium is intact. Visualized mastoid air cells and middle ear cavities are unremarkable. Limited view of the orbits demonstrate evidence of prior bilateral cataract surgery.
1.No evidence of acute intracranial process.2.Stable exam since prior MRI study from 8 -- 20 -- 10.3.Normal pneumatization of paranasal sinuses and mastoid air cells.