47 years Male (DOB:5/31/1968)Reason: eval for tumor History: eval for tumorPROVIDER/ATTENDING NAME: FERNANDO D GOLDENBERG FERNANDO D GOLDENBERG There is a 36x60mm axial dimension heterogeneously enhancing mass centered in the right thalamus protruding into the right lateral ventricle present. There is a central hemorrhage within the mass. There is associated mild ventriculomegaly with dilation of the temporal horns. The mass displaces the third ventricle to the left and creates midline shift with shift of the septum pellucidum 12 mm left of midline. It appears to encase the right thalamostriate vein. The body of the choroid is visually contiguous with this mass.There is gyral signal hyperintensity along the right inferior parietal lobule on FLAIR imaging associated with some minor leptomeningeal enhancement.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Large hemorrhagic mass centered in the right thalamus exophytic into the right lateral ventricle associated with ventriculomegaly. It appears to encase the right thalamostriate vein and involves right choroid plexus.2.Gyral signal abnormality centered along the right inferior parietal lobule is non-specific. It could be paraneoplastic or related to encephalitis.