Clinical question: Evaluate for any pathology in the head in context of a new pulmonary findings. Signs and symptoms: New pulmonary infiltrate. At top of liver transplant list. Unenhanced head CT:Right cerebellar pica territory cortical stroke is again identified. The age of this stroke cannot be determined due to its small size. To entirely exclude subacute state of stroke recommend MRI exam. No change since prior exam.Subtle patchy areas of low attenuation in the subcortical and periventricular white matter of bilateral cerebral hemispheres are believed to represent small vessel ischemic disease of indeterminate age.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Calvarium, paranasal sinuses, mastoid air cells and middle ear cavities are unremarkable
1.No interval change since prior exam.2.Small right pica territory cerebellar stroke of indeterminate age.3.Small vessel disease of indeterminate age.4.No detectable acute intracranial process.