74-year-old female history of CAD and S/P CABG presents with acute SOB evaluate for stroke On image 19, a small focal hypoattenuation adjacent to the right Sylvian fissure most likely due to technique difference from prior. If acute ischemic infarction is concerned, MRI exam is recommended.The images re-demonstrate chronic ischemic infarction in the right basal ganglia and the left thalamus as well as periventricular white matter small vessel disease. There is no evidence of intra-or extra axial fluid collection/hemorrhage, mass or edema.The ventricles and basal cisterns are normal in size and configuration for the patient's stated age.The calvaria and skull base are radiographically normal. Visualized paranasal sinuses and mastoid air cells are normally pneumatized. Calcified atherosclerotic disease of the vertebrobasilar system and internal carotid arteries is noticed.
Small vessel ischemic disease and chronic ischemic infarction with no evidence of acute intracranial hemorrhage/ischemic change.