Retracting right-sided intraventricular clot and hydrocephalus with known midline shift. The images are generally degraded by patient motion. There is intrinsic T1 hyperintensity and susceptibility effect centered in the right caudothalamic groove region, as well as within portions of the lateral ventricle margins. There is dilatation of the third and bilateral lateral ventricles, left greater than right. There are linear bands within the right lateral ventricle, which may represent involuted blood clots and adhesions. There also appears to be cerebral volume loss, particularly in the left cingulate gyrus and frontal lobe region. There is mild patchy T2 hyperintensity along the right coronal radiata. There is mild midline shift to the right. There is no definite evidence of acute infarction. There is mild prominence of the subarachnoid spaces in the right frontal convexity region. The skull and extracranial structures are unremarkable.
Sequela of right germinal matrix hemorrhage with retracted clot and ventriculomegaly that appears to be attributable to hydrocephalus superimposed upon cerebral volume loss.