Cough question: Rule-out intracranial hemorrhage. Signs and symptoms: Altered mental status. Unenhanced CT of brain: Large vessel intracranial vascular calcification of vertebral basilar and cavernous carotids is noted.There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and all CSF cisterns remain within normal range for patient stated age of 56.Calvarium is intact. Visualized paranasal sinuses are unremarkable.Follow-up with an MRI is recommended if clinical concern persists.
Negative nonenhanced CT of brain and calvarium.