56-year-old female with facial droop; evaluate for CVA There is no evidence of acute intracranial hemorrhage, mass or edema. Multiple foci of hypoattenuation are seen in the periventricular and subcortical white matter which may represent small vessel ischemic disease of indeterminate age. Mild asymmetry is seen in the temporal lobes which may be artifactual. Right posterior cerebellar wedge shaped hypodensity is seen which may represent acute / subacute infarct versus artifact. Recommend MRI of the brain for further evaluation. The gray-white matter differentiation is grossly preserved. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses, mastoid air cells and middle ear cavities are normally pneumatized.
No acute intracranial hemorrhage. Wedge-shaped right cerebellar hypodensity which may represent acute or subacute infarct versus artifact. Small vessel ischemic disease of indeterminate age. Given the absence of prior study for comparison, acute infarcts cannot be excluded. Recommend MRI of the brain for further evaluation.