Critical question: Evaluate for bleed or mass. Signs and symptoms: Hypertension and headaches. Non-enhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass, mass effect or midline shift or hydrocephalus.Questionable foci of low-attenuation in the subcortical white matter of both hemispheres are noted. These may represent small vessel ischemic disease. The common follow-up with an MRI exam. Cortical sulci, ventricular system and all CSF cisterns are otherwise unremarkable. Calvarium, visualized paranasal sinuses and mastoid air cells are unremarkable.
1.No evidence of acute intracranial finding.2.Questionable small vessel ischemic disease.