74-year-old male with severe dizziness with fall from standing. Evaluate for bleed. There is no evidence of intracranial hemorrhage, mass or edema. Recommend correlation with MRI if there is clinical concern for acute stroke.The ventricles and basal cisterns are normal in size and configuration.Multiple diffuse hypo-attenuating lesions in the deep white matter and basal ganglia, likely representing chronic lacunar infarcts. The calvaria and skull base are radiographically normal. Opacification of the right sphenoid sinus is noted. Otherwise, the visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Chronic lacunar infarcts without evidence of acute intracranial abnormality. Recommend correlation with MRI if clinical concern for acute stroke persists.