90 year-old female with altered mental status, evaluate for bleed. There is no evidence of intracranial hemorrhage or mass. Multiple scattered hypoattenuating foci in the left frontal, right occipital, and right temporal lobe consistent with cortical infarcts of indeterminate age. If there is clinical concern for an acute infarct, MRI may be obtained. Numerous hypoattenuating foci within the subcortical, deep, and periventricular white matter consistent with ischemic small vessel disease of indeterminate age. The ventricles and basal cisterns are prominent compatible with age-appropriate volume loss.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Multiple areas of cortical and subcortical infarcts, age indeterminate. If there is clinical concern for acute infarction, MRI may be obtained.