87-year-old male with elevated INR and history of falls. There is no evidence of intracranial hemorrhage, mass or edema. Hypodensities in both cerebellar hemispheres, left greater than right, as well as in the basal ganglia, are consistent with prior strokes. Confluent areas of hypodensity in periventricular and subcortical white matter are consistent with extensive small vessel ischemic disease of indeterminate age.There is prominence of the ventricles and sulci, consistent with parenchymal volume loss, appearing similar to prior MRI.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1.No evidence of intracranial hemorrhage or other acute abnormality. 2.Evidence of extensive small vessel ischemic disease and prior strokes in basal ganglia and cerebellum.