67 year-old female with left arm tingling and numbness. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse areas of hypodensity in the periventricular and subcortical white matter distribution consistent with small vessel disease, age indeterminate but grossly overall unchanged from the previous examination. Focal area of hypodensity adjacent to the right thalamus and basal ganglia unchanged from the previous study. No new cortical stroke is noted. 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 mastoid air cells are normally pneumatized. Limited view of the paranasal sinuses are unremarkable.
Chronic ischemic focus unchanged. Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered.