85-year-old female with expressive aphasia and left sided lean. Rule-out CVA. There is no evidence of intracranial hemorrhage, mass or edema. Right frontoparietal hypodensity consistent with old stroke involving the lenticular striate arteries. Right basal ganglia lacunae. No acute cortical ischemia. If there is clinical concern for acute ischemia, an MRI is recommended.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.
Right frontoparietal hypodensity consistent with previous ischemia. If there is clinical concern for acute ischemia an MRI is recommended.