Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Headache with seizure. CT of brain without infusion:No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Vertical sulci, ventricular system and all CSF cisterns remain within normal. There are subtle foci of low-attenuation in the subcortical white matter of both cerebral hemispheres. These findings are suspect that for small vessel disease of indeterminate age. These findings were noted on prior MRI examination from 3 -- 16 -- 2009. In comparison with prior CT examination from 11 -- 5 -- 2009 no definitive appreciable interval change is detected.Calvarium, limited view of paranasal sinuses and mastoid air cells are also unremarkable.
1.No evidence of hemorrhage as clinically is suspected.2.Findings consistent with small vessel disease of indeterminate age.