65-year-old female with slurred speech x 3 days and ataxia x 2 days on Coumadin. Rule-out intracranial hemorrhage, old stroke. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of periventricular and subcortical white matter hypodensities consistent with small vessel disease, age indeterminate. If there is clinical concern for stroke, an MRI may be considered.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. Sinus disease within the right sphenoid sinus. The remainder of the visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Small vessel disease, age indeterminate. If there is clinical concern for stroke, an MRI may be considered.