79-year-old male with recent code, hypotension, on pressors. Rule out stroke Exam limited by motion artifact.Again seen is a low-attenuation lesion in the left frontal deep white matter that extends to the basal ganglia. This is seen on previous studies dating back to an MRI from 2/05 and is consistent with chronic ischemic changes.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The mastoid air cells are normally pneumatized.
Chronic ischemic changes unchanged. No CT finding suggesting acute ischemia. Recommend MRI exam once the patient is clinically stable to rule-out acute ischemia as clinically indicated.