Presentation
Confusion.
Patient Data
Age: 75
Gender: Male
From the case:
Prominent perivascular space
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Rounded hypoattenuating focus within the inferior portion of the right lentiform nucleus most consistent with a prominent perivascular space.
From the case:
Prominent perivascular space
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MRI confirms the right inferior lentiform nucleus hypoattenuating focus on CT to follow CSF intensity consistent with a prominent perivascular space rather than a lacunar infarct.
Case Discussion
Typical CT and MRI appearance of a prominent perivascular space inferiorly within the basal ganglia which should not be mistaken for a lacunar infarct.