79 year old woman with history of hypertension, CVA transferred from outside hospital status post fall now with right facial droop and question of right hemineglect. There is a hypoattenuating region in the left parietal lobe. This is consistent with late subacute versus chronic infarct in the left MCA distribution. Recommend MRI to better define acuity of infarct. No CT findings of intracranial hemorrhage, mass effect, or midline shift.There are periventricular hypoattenuating regions consistent with age-indeterminate, small vessel ischemic disease.The ventricles and basal cisterns are normal in size and configuration. Cavum septum pellucidum, a nonpathologic finding, noted.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Late subacute versus chronic infarct in left MCA distribution. Recommend MRI to better define acuity of infarct. These findings were communicated with the ordering physician at the time of interpretation.