Clinical question: Stability of bleed. Signs and symptoms: Altered mental status. Portable CT exam time in the mid or slices were obtained. Images through posterior fossa are compromised due to extensive artifact and patient motion however no gross abnormalities detected. Fourth ventricle is normal in size and in midline position.Images through supratentorial space demonstrate large hematoma likely secondary to hemorrhagic tumor in the left basal ganglia and extensive surrounding echogenic edema. A ring of low density within the hematoma is suspected of tumor. The hematoma measures 43.2-mm times 40-mm in transaxial dimension (axial image 19 of 34). There is significant mass effect on the left lateral ventricle and minimal extension of blood into the ventricle. Multiple small satellite hemorrhagic lesions are also noted. The midline shift of approximately 4.3 mm is noted. A small cortically based high convexity right posterior frontal hemorrhagic lesion is also present on axial image 24.In comparison with the prior MRI examination from 10 to 26/2009 no gross interval change in the size of hematoma is detected.
Multiple hemorrhagic intracranial lesions. Largest within the left basal ganglia remains stable since prior MRI.