57-year-old female with hypertension, diabetes, heroine use with seizures. Altered mental status. There is no evidence of intracranial hemorrhage, mass or midline shift. Questionable subcortical white matter hypodensities may represent small vessel ischemic disease, and an MRI may be considered for further evaluation if clinically indicated.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
No acute abnormality. Questionable small vessel changes, MRI may be considered for further evaluation.