79-year-old female with syncope and fall. Rule out bleed. There is no evidence of intracranial hemorrhage, mass or edema. Extensive periventricular and subcortical white matter areas of hypoattenuation appear unchanged and are consistent with chronic small vessel ischemic disease. Prominent sulci are consistent with parenchymal volume loss, appropriate for age.The ventricles and basal cisterns are normal in size and configuration.Mild irregularity of right orbital roof appears unchanged, and is possibly result of prior trauma. Otherwise, calvaria and skull base are radiographically normal. Right mastoid air cells are opacified, unchanged. Otherwise, the visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1.No acute intracranial abnormality or interval change.2.Stable chronic small vessel ischemic disease.