58 year old female with syncope and history of TIA. Evaluate for any neurologic disease Non-enhanced CT of brain:No evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Cortical sulci, ventricular system and all CSF cisterns remain within normal range for patient's stated age of 78. The gray -- white matter differentiation is preserved.Calvarium, visualized orbits, paranasal sinuses and mastoid air cells are unremarkable. Considering significant provided clinical data and unremarkable prior CT examination from 11 -- 27 -- 10 follow-up with an MRI is recommended.Minimal suspected a small vessel disease that was reported on prior study is not identified on this exam however the quality of this exam is suboptimal compared to prior study which may explain this difference.
No evidence of acute intracranial process, mass effect, midline shift or hydrocephalus. Recommend follow-up with an MRI examination considering lack of any definitive finding on two CT examination of brain.