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CT SCAN OF BRAIN
CLINICAL INFORMATIONS:
Headache.
TECHNIQUE:
5 mm infratentorial & 05 mm supratentorial contiguous axial sections of the brain were obtained without I/V contrast administration and coronal & sagittal MPR images.
FINDINGS:*
Multiple areas of different sizes and attenuation are seen at bilateral basal ganglia-parietal regions.
Moderate generalized degenerative atrophy with secondary dilatation of ventricles, prominent sulci & Sylvian fissures.
Multiple tiny low-density areas are seen at bilateral basal ganglia & parietal regions, lacunar infarcts most likely.
Patchy low attenuated areas are seen in the deep white matter at bilateral periventricular regions & at centrumsemiovale; demyelination most likely.
No evidence of intra or extra axial hematoma, contusion or mass.
No pressure effect or contralateral shifting of midline structures.
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- Pituitary region: No lesion at para, supra or intrasellar region.
- Posterior fossa: No mass at brain stem, cerebellum or at CP angle.
- No mass/lesion is noticed at initial course of the CNs.
IMPRESSION:
- Multiple infarcts of different ages at bilateral basal ganglia-parietal regions.
- Moderate age related degenerative atrophy of the brain with evidence of demyelination & lacunar infarcts.