65-year-old female with history of CVA in 5/07 is presents with altered male mental status and decreased LOC x 3 days. There is no evidence of intracranial hemorrhage, mass or edema. Well-defined hypodensity within the left temporal and biparietal regions consistent with chronic ischemia, unchanged from the previous examination. Multiple areas of diffuse hypodensity in a periventricular and subcortical white matter distribution consistent with small vessel ischemic disease, age. indeterminate. If there is clinical concern for acute ischemia, an MRI may 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.
Stable chronic ischemic changes. If there is clinical concern for acute ischemia, an MRI may be considered.