44 years Female (DOB:12/8/1971)Reason: Stroke w/u History: R thalamic hemorrhagePROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI MRI of the brainThere is a right thalamic hematoma present measuring 15 x 20 mm in axial dimensions. There is a surrounding halo of edema present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. MR characteristics include bright on T1, dark on T2 and susceptibility effect.There are punctate foci of signal loss on susceptibility imaging present within the cerebellum, brainstem, right putamen and the left thalamus.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The left A1 segment is larger than the right A1 segment. The anterior communicating artery is not readily identified. The posterior communicating arteries are medium-sized. The vertebral arteries are similar in size.
1.There is a right thalamic hematoma present which is not appear to be significantly different in size when compared to the 6/11/2016 exam.2.There are multiple microhemorrhages present in the cerebellum, left thalamus and right putamen. This pattern is suggestive of hypertensive microhemorrhages. 3.No evidence for cerebrovascular occlusive disease.4.No evidence for intracranial aneurysm.