Clinical question: Evaluate for CVA. Signs and symptoms: Aphagia. Unenhanced head CT:The examination demonstrates very subtle subcortical and periventricular low attenuation which are suspected for mild small vessel ischemic disease of indeterminate age. These findings were noted on prior MRI examination from 6 -- 23 -- 10.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. High density extra axial lesion measuring approximately 18 times 15 mm in transaxial dimension is noted along the superiorly surface of tentorium on the left is consistent with patient's known meningioma. There is no appreciable interval change since prior exam. There is no evidence of surrounding vasogenic edema.
1.No detectable acute intracranial findings.2.Minimal small vessel ischemic disease of indeterminate age.3.Stable left sided subtemporal meningioma.