77-year-old male with history of stroke. Now with mental status changes. Evaluate for bleed/mass Large low attenuation area involving the left cortical and subcortical temporoparietal lobe in the territory of the left MCA consistent with encephalomalacia. MRI recommended for further evaluation if clinical concern remains for acute stroke. There is no evidence for mass or hemorrhage. There is associated ex vacuo dilatation of the left lateral ventricle.The 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.
Chronic left MCA infarct. MRI recommended for further evaluation if clinical concern remains for acute stroke.