Vertigo. History of CVA 2/2010. Following for CVA No intracranial bleed, mass effect, edema, or midline shift. Moderately prominent extra-axial space and sulci. A moderate size patchy low attenuation is present in the left corona radiata, centrum semiovale, and left deep gray nuclei, new since previous CT, consistent with the acute infarction seen on 2/4/2010 MRI. It is consistent with interval maturation of an infarction with expected encephalomalacia. Within the limitation of the CT, which has less sensitive evaluation of the posterior fossa structures, it appears unremarkable. Basal cisterns are patent. Moderate vascular calcifications. No hydrocephalus. Opacification of right mastoid air cells, new since previous study. Otherwise, the rest of the visualized paranasal sinuses and mastoid air cells are clear
1. No intracranial bleed. 2. Interval maturation of the previously seen left sided white matter and deep gray matter MCA distribution acute infarction seen on 2/4/2010 MRI. 3. New right mastoid air cells congestive/inflammatory disease.