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No acute intra-axial or extra-axial haemorrhage. No acute vascular territory cortical infarct. No intracerebral mass lesion. Extensive periventricular white matter hypodensity consistent with chronic small vessel ischaemia. The sulcal and ventricular pattern are consistent with stated age. The mastoid air cells and imaged paranasal sinuses are aerated. No calvarial fracture seen, persistent metopic suture which is a normal anatomic variant. Left parietal subgaleal scalp and left pinna haematoma.