92 year-old female with hypertensive urgency. Rule out CVA. There is no evidence of intracranial hemorrhage, mass or midline shift. Patchy areas of subcortical and periventricular white matter hypodensity likely represent small vessel ischemic disease, age indeterminate by CT. There is an old left basal ganglia lacunar infarct. If there is strong clinical concern for an acute stroke, an MRI may be considered 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.
No definite evidence of acute intracranial abnormality. Small vessel ischemic disease and old lacunar infarct. 