68 year old with altered mental status. Patchy areas of periventricular and subcortical lucencies are consistent with small vessel disease of undetermined age. No evidence of hemorrhage, mass effect, midline shift or hydrocephalus is detected. Additional clinical history of metastatic colon cancer was relayed to the radiology resident on call. If concern for metastatic process or acute stroke is suspected an MRI is recommended.
Small vessel disease of undetermined age. Please see above comments.