64 old female with witnessed partial seizure (new onset). Evaluate for bleed. Hypodense region in the left posterior parietal and left occipital lobes with no significant mass effect or volume loss concerning for a subacute infarct. MRI is recommended for further evaluation. Subcortical and periventricular white matter diffuse hypodensities consistent with small vessel ischemic disease of indeterminate age.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 visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1- Left posterior parietal and occipital lobes hyperdense the concerning for subacute infarct. MRI is recommended for further evaluation.2- Small vessel ischemic disease of indeterminate age.These findings were communicated to Dr. Christopher Chapman via phone at 10:50am.