78 year-old female with history of basilar tip thrombus and multiple strokes. There is no evidence of intracranial hemorrhage, mass or edema. Mild, patchy areas of hypoattenuation in the periventricular and subcortical white matter may represent small vessel ischemic disease.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.Atherosclerotic calcifications noted in the intracranial vasculature.
1.No CT evidence of intracranial hemorrhage or other acute abnormality.2.Evidence of small vessel ischemic disease.3.The previously known small infarcts reported on prior MRI and basilar tip thrombosis are not well appreciated on this study.