67 year-old female with seizure today. No history of seizure. History of CVA and encephalopathy, mental retardation. There is no evidence of intracranial hemorrhage, mass or edema. Extensive carotid calcification. Dystrophic calcifications within the bilateral basal ganglia. Multiple hypodensities in periventricular distribution consistent with extensive small vessel disease, age indeterminate. Multifocal old cerebellar strokes. No evidence of supratentorial cortical stroke. If there is clinical concern for acute ischemia an MRI may be considered. Prominent sulci with proportionally enlarged ventricles.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia an MRI may be considered.