Stem cell transplant patient with sickle cell disease. Experiencing new tunnel vision with dizziness There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is encephalomalacia involving the left middle and inferior frontal gyri and in the right caudate nucleus. There is sulcal susceptibility predominantly in the superior parietal lobe region. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are probable retention cysts in the maxillary sinuses.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Chronic infarction involving the left middle and inferior frontal gyri, as well as the right caudate nucleus.3. Stigmata of prior subarachnoid hemorrhage.