Clinical question: left-sided CVA. Signs and symptoms:left headaches, indeterminant right arm numbness. Nonenhanced head CT:Examination demonstrates extensive periventricular and subcortical low attenuation white matter. Findings are nonspecific however with no appreciable interval change since prior CT and MRI exams. There is no evidence of intracranial hemorrhage mass effect, midline shift or hydrocephalus.Calvarium is intact. Paranasal sinuses and mastoid air cells are unremarkable.
1.No evidence of an acute intracranial findings.2.Extensive periventricular and subcortical low-attenuation of white matter.