90 year-old female with past medical history of ESRD on hemodialysis, end hypertension. Presents with new, right lid ptosis and concern for TIA. There is no evidence of intracranial hemorrhage, mass or edema. Multiple patchy areas of hypodensity in a periventricular and subcortical distribution consistent with small vessel 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.
Small vessel disease as described above. If there is clinical concern for acute ischemia, an MRI may be considered.