Other symptoms and signs involving cognitive functions and awareness [R41.89], Reason for Study: ^Reason: ICH History: ICH Brain MRIThere is ventricular shape right basal ganglia ICH (18.1 mm: RL x 20.8 mm: AP x 23.6 mm: CC) with the surrounding edema and minimal mass effect toward the right lateral ventricle. On gradient echo images, there are multifocal round susceptibility lesions on bilateral basal ganglia, bilateral thalami bilateral parietal lobe and temporal lobes which may indicate chronic petechial hemorrhage lesions.There is also linear shape susceptibility lesion on the left external capsule indicating chronic hemorrhagic lesion with focal encephalomalacia.There is no evidence of acute ischemic lesion.Underlying brain shows scattered patchy FLAIR high signal intensity lesions on bilateral periventricular white matter indicating non specific small vessel ischemic disease.The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.
1. Acute ICH at the right basal ganglia, posterior aspect of the putamen with surrounding edema with minimal mass effects toward right lateral ventricle.2. Multifocal brain parenchymal chronic hemorrhagic lesions (hemosiderin deposition) including left external capsule lesion as described above.3. Non specific small vessel ischemic disease.4. No evidence of acute ischemic lesion.5. Normal brain MRA. 