History of CVA x 2, complaining of weakness and acute mental status changes. Rule out CVA. There is no evidence of intracranial hemorrhage, mass or midline shift. Areas of subcortical and periventricular white matter hypodensity and an area of lacunar infarction in the left basal ganglia indicate advanced small vessel ischemic disease of indeterminate age. This appears slightly more prominent than on the prior examination. If there is concern for an acute stroke, an MRI may be considered for further evaluation.Prominence of the ventricles and sulci indicate corticomedullary volume loss.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.Foci of increased density of the right globe are identified. These may represent dystrophic calcification or may be artifactual. The right eye is only partially included in the field of view.
Advanced small vessel ischemic disease of indeterminate age. If there is concern for an acute stroke, an MRI may be considered for further evaluation.