76 year old female status-post fall. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodensity in a periventricular and subcortical white matter distribution is consistent with small vessel disease, age indeterminate. Right frontal encephalomalacia. Left middle carotid artery appears slightly dense which in light of lack of adjacent ischemic changes may simply represent atherosclerotic calcifications, however if, there is clinical concern for acute ischemia, an MRI may be considered. Vascular calcifications affect the cavernous carotid bilaterally.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.
Diffuse hypodensity in a periventricular and subcortical white matter distribution consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.