77 years Male (DOB:12/29/1938)Reason: left thalamic hemorrhage with IVH History: as abovePROVIDER/ATTENDING NAME: PETER C WARNKE PETER C WARNKE There is redemonstration of a hematoma centered in the left thalamus and associated with the third and lateral ventricular blood.The patient is status post right sided ventriculostomy tube placement. The ventriculostomy tube courses the right frontal bone, through the right frontal lobe and has tip in the right lateral ventricle.Periventricular and subcortical white matter T2 and FLAIR hyperintense lesions of a moderate degree are present.The lateral ventricles are large but stable compared to the prior exam.Atherosclerotic calcifications are present along the distal internal carotid arteries.The visualized portions of the paranasal sinuses demonstrate mild mucosal thickening. The patient status post intubation. There are retained secretions within the nasal cavity. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no significant interval change compared to prior exam. There is redemonstration of a large left thalamic hemorrhage associated with extensive intraventricular blood and ventriculomegaly. This is stable compared to the prior exam.2.There is a moderate degree of periventricular white matter lesions present which at this age is most likely vascular related but nonspecific. It could also be related to a neurodegenerative process as well