Pulmonary fibrosis. History of syncope. Headache x 1 month. Question bleed or midline shift. There is no evidence of intracranial hemorrhage, mass or midline shift. Patchy areas of subcortical and periventricular white matter hypodensity likely represent mild small vessel ischemic disease, age indeterminate by CT. There is a left high convexity cortical stroke of indeterminate age. If the patient is symptomatic, an MRI may be considered for further evaluation. Vascular calcifications are noted within the cavernous carotid and vertebral arteries. Calcification within the parotid glands bilaterally may be from prior infection and appears unchanged.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.
Small vessel ischemic disease. Left high convexity cortical stroke of indeterminate age. If the patient is symptomatic, an MRI may be considered for further evaluation. No evidence of intracranial hemorrhage.