Right-sided weakness. Acute CVA. Non-enhanced CT of brain:There is evidence of a nonhemorrhagic acute left MCA cortical stroke in the left frontal lobe. There is subtle associated mass effect and effacement of adjacent cortical sulci. No evidence of midline shift.Patchy periventricular foci of low-attenuation is concerning for small vessel ischemic disease of indeterminate age. Follow-up with an MRI is recommended. Ventricular system is within normal range of size for patient's stated age of 70. No abnormalities of basal ganglia, thalami, pons or the cerebellum is detected. Mild vascular calcification of bilateral cavernous carotid are noted. Limited view of orbits, paranasal sinuses and mastoid air cells are unremarkable. Old healed fracture of posterior lateral wall of right maxillary sinus in this limited view is identified.
1.Acute left MCA frontal lobe nonhemorrhagic cortical stroke.2.Small vessel disease of indeterminate age.