60-year-old male with hepatitis C cirrhosis and encephalopathy, status post fall. Rule out bleed. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of patchy hypoattenuation in a periventricular and subcortical pattern consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. Bilateral dystrophic calcifications noted within the basal ganglia. Proportional prominence of the sulci and ventricles.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.