Clinical question: 51-year-old male with AML, Ommaya reservoir, history of peri ommaya hemorrhage. Now here with altered mental status. Please evaluate for intracranial hemorrhage or other intracranial process. Signs and symptoms: Altered mental status Right-sided ventricular catheter enters from high convexity right frontal bone and through the right frontal lobe with the tip at the right foramina of Monro. Slight prominence of the supratentorial ventricular system. Generalized uniform lower than normal density of white matter is noted. Please correlate with history. There are no old films available for comparison. This finding may be technique related. If clinical symptoms persist an MRI is recommended. Cortical sulci are within normal range for patient's stated age.No evidence of hemorrhage, mass-effect or midline shift. Calvarium, paranasal sinuses and mastoid air cells are unremarkable. A punctate air density within the temporal horn on the right.
No evidence of hemorrhage. Three see above comments.