Evaluate for bleed. 68-year-old female Examination is suboptimal due to extensive motion artifacts in particular in the posterior fossa. However no definitive abnormality within the posterior fossa is noted in 4 to remains within normal size and location.Several area of low-attenuation is suspected in the left posterior temporal occipital region. This was also partially visualized on the prior examination and may represent area of acute stroke. Several areas of subcortical lucencies are also noted in bilateral cerebral hemispheres. These may represent small vessel disease of undetermined age. An MRI examination is recommended since the quality of both of these recent CT exams are not very good for detection of very acute stroke.
Suboptimal exam however suspected left posterior temporal -- occipital stroke and small vessel disease. MRI is recommended.