Fall status post head trauma. Patchy hypodensity within the periventricular and subcortical white matter represent small vessel disease of indeterminate age. There is hypodensity of the right thalamus, possibly representing subacute ischemia.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The paranasal sinuses and mastoid air cells are normally aerated.
Small vessel ischemic disease of indeterminate age. Possible acute/subacute ischemia of the right thalamus. MRI can be obtained for further evaluation if clinically indicated.