84 year old with fall. Diffuse decreased periventricular white matter attenuation, representing age -- indeterminate small vessel disease. The ventricles are midline and normal in size, and there is no intracranial hemorrhage or abnormal extra-axial fluid.A calcified mass is again seen projecting from the left side of the falx anteriorly (image 19/30 bone windows), representing the patient's known meningioma. No CT is available for comparison, however when compared to the MRI dated 2004, this is likely stable.The calvarium is normal and the mastoid air cells and visualized paranasal sinuses are normally pneumatized. Diffuse calcifications of the vertebrobasilar system and circle of Willis are present.
Diffuse periventricular small vessel white matter ischemic disease, age-indeterminate, and a stable left frontal meningioma. No intracranial hemorrhage.