82-year-old male with left frontal intracranial hemorrhage and intraventricular extension. Acute left frontal parenchymal hemorrhage is new with adjacent edema and mass effect. No definite underlying mass is seen, but if suspicion is high, further imaging evaluation with MRI may be obtained. Hemorrhage extends intraventricularly layering dependently within the posterior horns of the lateral ventricles. Scattered foci of periventricular and subcortical low attenuation likely represent small vessel ischemic disease of indeterminate age. Dystrophic cortical calcification is evident within the right posterior parietal lobe with adjacent low attenuation suggesting a prior ischemic event. This finding is unchanged. The ventricles are prominent and slightly asymmetric. Complete opacification of the frontal and ethmoid sinuses is unchanged. The visualized mastoid air cells appear well pneumatized. Calvarial bones are grossly unremarkable.
No interval change.