Clinical question: Stroke? Signs and symptoms: Facial droop. Unenhanced CT of brain:No evidence of hemorrhage, edema, mass effect or midline shift or hydrocephalus. The gray -- white matter differentiation is well preserved. Questionable minute subcortical foci of low attenuation is noted. This finding may represent minimal small vessel disease. Patient has risk factors for stroke an MRI examination is recommended.Calvarium, paranasal sinuses and mastoid air cells are unremarkable.
With the exception of possible minimal small vessel disease of indeterminate age this study is unremarkable.