hemorrhage = Yes / No
Hydrocephalus = Yes / No
Technique: Axial images through the brain were acquired from skull base to the vertex with 5 mm
slice thickness. Images were reviewed in brain, subdural and bone window settings.
Findings: There are bilateral areas of low attenuation in periventricular and subcortical white matter,
nonspecific but most compatible with microvascular changes. Cortical sulci and basilar cisterns are
normal in size and configuration. There is disproportionate ventriculomegaly involving lateral and
third ventricles primarily. There is no evidence of obstructing mass lesion. There is no intra or
extraaxial fluid collection. There is no parenchymal hemorrhage or mass lesion. There is no
evidence of acute transcortical infarction. There is no transtentorial herniation or midline shift. There
are bilateral cavernous internal carotid and vertebral arterial calcifications.
Visualized paranasal sinuses are normal. Visualized mastoid air cells and orbits are normal. Patient
is status post bilateral cataract removal surgery. Soft tissues of the scalp are normal. There is no
evidence of osseous fracture or aggressive appearing osseous lesion.
Hydrocephalus without evidence of obstructing mass lesion. Acute hydrocephalus cannot be
excluded since there are no prior studies available for comparison. Extensive chronic white matter
changes may mask transependymal CSF edema. Correlate with short-term followup to exclude
acute hydrocephalus. Correlate with clinical symptoms to exclude normal pressure hydrocephalus.
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