60 year-old male who presents with ataxia. Rule out CVA. There is mild generalized prominence of the ventricles and sulci, consistent with volume loss, which is slightly advanced for the patient's age. There is no evidence of acute intracranial hemorrhage, mass or edema. There is no evidence of extra-axial fluid collection. There is a focal area of hypoattenuation of the left lentiform nucleus in keeping with a chronic infarct (probably small vessel ischemic). Multiple age indeterminate scattered hypodensities are noted within the periventricular and deep white matter bilaterally, better seen on prior MRIs. These findings are nonspecific but most commonly represent mild small vessel ischemic disease. No CT evidence of acute territorial ischemia.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are clear. Moderate intracranial vascular calcifications are noted.
1. No acute intracranial hemorrhage, CT identifiable acute territorial ischemia or focal mass.2. Old lacunar infarct in the left lentiform nucleus.3. Multiple age indeterminate scattered hypodensities are noted within the periventricular and deep white matter bilaterally. These findings are nonspecific but most commonly represent chronic small vessel ischemic disease. We note an MRI of the brain has been subsequently performed for this patient.