This 53 old male status post liver transplant with a history of seizures and VZV meningitis as well as a history of intraventricular hemorrhage. Would like to rule out expansion/stroke. Again noted is trace blood in the bilateral lateral ventricles which was seen in the brain MRI dated 7/07/08.There is no evidence of new intracranial hemorrhage.There is asymmetric prominence of the lateral ventricles as well as mild prominence of the third ventricle. This may be due to mild/moderate volume loss. This prominence has increased slightly when compared with the CT scan dated 7/02/08.There are periventricular white matter changes indicative of small vessel disease. There is no evidence of intracranial mass or edema. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Trace blood is again seen in the lateral ventricles. There is no evidence of new intracranial hemorrhage.2. There is prominence of the lateral and third ventricles which is slightly increased when compared to the prior CT scan dated 7/2/08.3. There is evidence of small vessel disease.