60 year-old male with history of end-stage renal disease with altered mental status. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage, mass or edema. Multiple, mild areas of patchy hypodensity in a periventricular and subcortical white matter distribution consistent with microangiopathic changes. If there is clinical concern for acute ischemia, an MRI may be considered. Dystrophic calcifications along the cerebellar tentorium.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.
Age indeterminate microangiopathic changes. No evidence of intracranial bleed. If there is clinical concern for acute ischemia, an MRI may be considered.