Clinical question: Rule out intracranial pathology. Signs and symptoms: Syncope without head trauma. Non-infused CT of brain:There is diffuse prominence of cortical sulci, CSF cisterns and ventricular system. Patchy areas of periventricular low attenuation region represent small vessel disease of indeterminate age. In comparison with the prior MRI examination no gross interval change is appreciated.There is no evidence of hemorrhage, acute cortical stroke, mass effect or midline shift.
1.Findings consistent with small vessel disease of indeterminate age.2.Prominence of cortical sulci and ventricular system is stable since prior MRI examination.3.No evidence of acute hemorrhage or cortical stroke.