Headaches. Postoperative changes of a left temporal craniotomy for clipping of the aneurysm again is identified and remains is stable. Small area of lucency in the subcortical white matter of left parietal is noted. This finding was not present on the prior study. Also new since prior exam is an additional foci of low density in the subcortical white matter of the operculum of the left frontal lobe. These areas are concerning for small vessel strokes. Further evaluation with an MRI is recommended. No evidence of hemorrhage, mass effect, midline shift or hydrocephalus is present.
Suspected areas of loss of cortical lucency concerning for small vessel disease which was not noted on the prior study. Further evaluation with an MRI is recommended.