Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:Patchy periventricular and subcortical foci of low-attenuation likely result of small vessel disease of indeterminate age are noted.There is no evidence of residual subdural hematoma as was noted on prior exam.There is no evidence of intracranial hemorrhage, mass effect, midline shift or hydrocephalus. No evidence of acute cortical stroke. Recommend follow-up with an MRI if concern for acute stroke persists. Bilateral frontal burr holes are again noted in calvarium is otherwise unremarkablelimited view of paranasal sinuses and mastoid air cells are unremarkable.
1.No evidence of acute intracranial hemorrhage or cortical stroke.2.Small vessel disease of indeterminate age.3.No evidence of residual subdural as was noted on prior exam.