TIA with left hand numbness Noncontrast CT scan brain demonstrates periventricular hypodensity which given the patient's age and history most likely are present small vessel ischemic disease. There is no evidence of acute cortical infarct. If ischemia remains of clinical concern MRI would allow more sensitive evaluation of possible acute ischemic changes.Bone windows demonstrate opacification of a single posterior right ethmoid air cell. No other bony abnormality is identified.
Small vessel ischemic disease with no evidence of acute ischemic change. If there is clinical concern MRI would allow more sensitive evaluation.