58 old male with history of TIA a couple of years ago. Patient states frontal headaches for two months. Today the patient had dizziness since 3 a.m., "eclipse" over eyes and sees shadows, left-sided weakness. There is no evidence of intracranial hemorrhage, or mass. Evidence of small lacunar infarct of the left basal ganglia of indeterminate age, unchanged from prior.There is a questionable decreased attenuation in the right posterior parietal region of uncertain clinical significance. If clinically warrented MRI could be done for further evaluation.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- Questionable decreased attenuation in the right posterior parietal region of uncertain clinical significance. If clinically warrented MRI could be done for further evaluation.2- Old small lacunar infarct are redemonstrated.