84-year-old male with a 3 day history of altered mental status, and history of falls on Coumadin. Evaluate for bleed There is no evidence of intracranial hemorrhage, mass or edema. Multiple patchy areas of hypodensity in a periventricular and subcortical distribution consistent with age indeterminate microangiopathic changes. If there is clinical concern for acute ischemia, an MRI may be considered.Prominent sulci and proportionally prominent ventricles, within normal limits for age.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Age indeterminate small vessel disease. No evidence of intracranial hemorrhage.