89-year-old female, Jehovah's Witness, status post 2 falls at home yesterday. Evaluate for bleed. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of diffuse hyperdensities within a periventricular and subcortical white matter distribution consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. Round focus of low attenuation in the left cerebellum consistent with previous stroke.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Chronic changes as described above, no acute findings. If there is clinical concern for acute ischemia, an MRI may be considered