81-year-old male status post fall. Hit head. Evaluate for bleeding. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse patchy hypodensities in the periventricular and subcortical white matter distribution consistent with microangiopathic changes. Right MCA distribution hypodensity consistent with previous infarct. No acute cortical strokes are noted. If there is clinical concern for acute ischemia, an MRI may be considered.Proportional prominence of the ventricles and sulci.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
No evidence of intracranial hemorrhage.