Professional left-sided gaze, no right-sided weakness, fever, tachypnea Non-infused CT of brain.Axial 4-mm CT images of the entire head was performed.Images through posterior fossa are unremarkable.Images through supratentorial space demonstrate an area of low-attenuation in the periventricular white matter of right posterior frontal -- parietal region. This is not a specific however it may represent a small vessel stroke. Very subtle subcortical low-attenuation adjacent to the frontal horn of the right lateral ventricle may also represent a small vessel stroke finding. The age of these strokes cannot be determined on CT. if clinical concern for acute process is persist an MRI is recommended. No evidence of hemorrhage, mass-effect, midline shift or hydrocephalus is detected. Cortical sulci is unremarkable. Ventricular system and all CSF cisterns are unremarkable.
Findings suspect that of small vessel disease of indeterminate age. No evidence of acute hemorrhage or cortical stroke.