Clinical question: Intracranial hemorrhage. Signs and symptoms: Altered mental status. Non-enhanced CT of brain:Heavy vascular calcification of vertebral and cavernous carotid arteries are again identified.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Findings consistent with small vessel disease are again identified and made no gross interval change since prior exam.Calvarium is intact. Mastoid air cells, middle ear cavities and limited view of paranasal sinuses are well pneumatized.A very small calcific dural based lesion is believed to represent a very small meningioma which was also noted on prior MRI examination from 2 -- 26 -- 2010. On coronal postinfusion image 14 of prior MRI exam this lesion measures approximately 5 mm in transaxial dimensions.
1.No evidence of acute intracranial findings.2.Small vessel disease of indeterminate age with no gross interval change since prior exam.3.A tiny 5-mm left frontal calcific meningioma with no change since prior exam.