Clinical question: Rule out CVA. Signs and symptoms: Slurred speech and facial tube. Nonenhanced CT of brain:Findings consistent with extensive small vessel disease of indeterminate age is noted. There is no evidence of acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. No evidence of acute cortical stroke is detected. Prominence of cortical sulci and ventricular system is concerning for underlying volume loss. Follow-up with an MRI is recommended.Calvarium, visualized paranasal sinuses, mastoid air cells and middle cavities are unremarkable.
1.Small vessel disease of indeterminate age.2.No evidence of acute cortical stroke or hemorrhage.3.Calvarium, paranasal sinuses and mastoid air cells are pneumatized and unremarkable.