85 year-old female with aphasia. Evaluate for CVA. Nonspecific, patchy areas of moderate hypoattenuation in periventricular and subcortical white matter. These changes were present on 2009 MRI.Intracranial vertebral artery calcifications.There is no evidence of intracranial hemorrhage, mass or edema. The gray-white matter differentiation is normal.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.Patchy areas of white matter hypoattenuation most likely vascular related at this age. These changes were present on 4/29/2009 MRI. No evidence of acute ischemia, however CT is not sensitive in detecting early acute ischemia.2.No evidence for intracranial hemorrhage, edema, or mass.