71 year-old female with cirrhosis status post fall with altered mental status. Evaluate for bleed. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse regions of hypodensity throughout the subcortical white matter consistent with advanced small vessel ischemic disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.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.
Advanced small vessel ischemic disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.