56-year-old male with syncope evaluate for hemorrhage. High attenuation, well-defined lesion within the left thalamus measuring approximately 8 mm x 8 mm without surrounding edema is suspicious for hemorrhage however cavernoma may have a similar appearance. MRI is recommended for further characterization.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and right mastoid air cells are normally pneumatized with left mastoid air cell opacification.
Left thalamic high attenuation lesion is suspicious for hemorrhage, however, cavernoma may have a similar appearance and MRI is recommended for further characterization.