67-year-old male with a history of transient alteration of awareness and subdural hematoma on outside hospital examination. Follow up examination. There is encephalomalacia of the right superior frontal gyrus. These findings are consistent with the patient's history of right superior frontal infarct. There is no evidence of intracranial hemorrhage, mass or edema. Additionally, there are age indeterminant multiple scattered hypodensities in the periventricular and deep white matter. These findings are nonspecific and likely represent small vessel ischemic disease, however, if acute infarct remains a clinical concern further evaluation with MRI could be considered.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. No evidence of acute territorial infarct, intracranial hemorrhage, mass or edema.2. Encephalomalacia in the right superior frontal gyrus secondary to prior ischemic infarct.3. Age indeterminant multiple scattered hypodensities in the periventricular and deep white matter bilaterally. These findings are nonspecific and likely represent small vessel ischemic disease, however, if acute infarct remains a clinical concern further evaluation with MRI could be considered.