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CT OF THE HEAD WITHOUT CONTRAST

Reason For Exam: Headache.

Findings: There is no midline shift or mass effect.  There is mild cerebral atrophy.  No evidence of intracranial hemorrhage.  No definite focal infarct.  There is symmetrical, mildly decreased attenuation noted bilaterally in the centrum semiovale and periventricular cerebral white matter.  There is no evidence of hydrocephalus.  The calvarium is grossly intact.

IMPRESSION: Mild degree of cerebral atrophy with findings suggestive of chronic ischemic changes in the cerebral white matter.  The findings are essentially unchanged from a prior CT.