75 year old female with left leg weakness. There is no evidence of intracranial hemorrhage, mass or edema. Extensive, periventricular hypodensities consistent with small vessel disease common age indeterminate. If there is clinical concern for acute ischemia an MRI may be considered. Prominence of the sulci may be within normal limits for the patient's age.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.
Small vessel disease, age indeterminate, if there is clinical concern for acute ischemia an MRI may be considered.