85 year-old female with sudden onset of aphasia. Acute stroke. Extensive small vessel disease of indeterminate age is noted. No meniscal hemorrhage, edema, mass-effect, midline shift or hydrocephalus is seen. Images through posterior fossa demonstrate the foci of low-attenuation in the right paramedian pons believed to represent an old focal infarct. Follow-up with an MRI is recommended.
Advanced small vessel disease.