89 year-old male status post fall. Examination shows patchy hypoattenuation in the cerebral white matter. The ventricles, sulci and cisterns are symmetric and prominent, consistent with brain volume loss. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No acute intracranial abnormality. 2. Small vessel ischemic disease of indeterminate age. 