82 year old female who presents with signs and symptoms of stroke. Rule out CVA. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.Multiple age indeterminate scattered hypodensities are noted in the periventricular white matter bilaterally, which are nonspecific, and may represent small vessel ischemic disease. There is a linear hypodensity at the left basal ganglia extending into the internal capsule. This finding likely represents chronic infarction. However, if acute infarct remains a clinical concern further evaluation with MRI could be considered. Additionally, a foci of encephalomalacia is noted within the left cerebellar hemisphere.The calvaria and skull base are radiographically normal. There is mild mucosal thickening of the right maxillary sinus. These findings likely represent chronic mucosal sinus disease.
1. There is a linear hypodensity at the left basal ganglia extending into the internal capsule. These findings likely represent chronic infarction. However, if acute infarct remains a clinical concern further evaluation with MRI could be considered. 2. Multiple age indeterminate scattered hypodensities are noted in the periventricular white matter bilaterally which are nonspecific and may represent small vessel ischemic disease. 3. Focus of encephalomalacia within the left cerebellar hemisphere from prior small infarct.4. Right maxillary sinus mucosal disease.