30 year-old female with hypertension, coronary artery disease and history of falls. Question bleed. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of diffuse periventricular hypodensity consistent with small vessel disease common age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. Ventricles are prominent but may be within normal limits for age.The ventricles and basal cisterns are normal in size and configuration.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.