55-year-old female with headaches and nausea and loss of consciousness. Status post fall this a.m.. Neurologically intact. Multiple small subcortical and periventricular areas of low-attenuation are not a specific all were often these findings are secondary to small vessel disease or demyelinating disease. Considering patient's age findings are more likely to represent small vessel disease. Age of these show cannot be determined on CT.No evidence of hemorrhage, mass-effect, midline shift or hydrocephalus is detected. There is subtle prominence of the basilar tip which demonstrate punctate calcification this can be result of atherosclerotic disease and vascular tortuosity the remote possibility of an aneurysm cannot be entirely ruled out. Further evaluation with an MRI and MRA is recommended to exclude acute stroke and also evaluate for possibility of aneurysm of the basilar tip.The bony density of calvarium is unremarkable. Pneumatization of paranasal sinuses and mastoid air cells also unremarkable.
1.Nonspecific white matter patchy areas of low attenuation which are suspicious for small vessel disease of undetermined age.2.No evidence of an acute posttraumatic findings.3.Slight prominence of basilar tip as detailed.