84 year old female with loss of consciousness. Persistent headaches Examination demonstrates extensive findings consistent with advanced small vessel disease of indeterminate age. In comparison to prior exam no gross interval change is detected.New since prior exam are 2 small foci of increased signal intensity one been interval left basal ganglia measuring approximately 5 mm in AP axis and 4-mm in transverse axis (axial image 13 which is suspected of a small area of hemorrhage. The second lesion is within the cortex of right parietal lobe and measures approximately 4 mm x 4 mm and is best the patient on axial image 18. This lesion is also suspected of a small hemorrhage. Further evaluation with an MRI is recommended to exclude possibility of hemorrhagic metastatic lesions. Neither one of these demonstrates any surrounding edema.The findings were reported to measure number 9239 at the time of interpretation.
1.Advanced small vessel disease of indeterminate age.2.Two very small foci of increased signal intensity new since prior study as detailed.3.Further evaluation with an MRI is highly recommended to exclude hemorrhagic metastatic lesions.