Clinical question: Rule out bleed. Signs and symptoms: Altered mental status Nonenhanced CT of brain:Examination demonstrates no evidence of acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Findings of advanced to small vessel disease with resultant underlying parenchymal volume loss is again identified. There is no definitive appreciable interval change since prior examination. If patient's clinical symptoms persist follow-up with an MRI is recommended.
No interval change since prior exam. Findings consistent with advanced small vessel disease of indeterminate age with resultant parenchymal volume loss.