87-year-old female with left lower facial droop. Fall. There is no evidence of intracranial hemorrhage, mass or edema. An area of hypodensity within the right basal ganglia is of uncertain. Acute MCA abnormality cannot be entirely excluded. MRI is recommended for further evaluation if clinically indicated. Scattered periventricular and subcortical white matter hypodensity is consistent with small vessel ischemic change, age indeterminate.The ventricles and basal cisterns are normal in size and configuration.Groundglass pattern of the left sphenoid bone is consistent with fibrous dysplasia. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Right basal ganglia hypodensity is of uncertain chronicity. MRI can be obtained if concern remains for acute ischemia.