altered mental status, left temporoparietal ICH Redemonstration of the left temporoparietal ICH with surrounding edema.In addition, there are variable sized multiple susceptibility artifacts on bilateral hemispheres as well as bilateral thalami, brain stem and cerebellar hemispheres. These lesions indicate possible multifocal various aged hemorrhagic foci or possibility of cerebral amyloidosis.The left lateral ventricle occipital horn appears to be obliterated due to mass effect. However, there is no evidence of midline shift or herniation.There is focal restricted diffusion, on the right mesial thalamus indicating acute ischemic infarction. There is no evidence of ventriculomegaly. There is no evidence of abnormal enhancement.The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Bilateral PCAs are fetal origin. Vertebrobasilar system appears to be normal.
1. Re demonstration of the left temporo-parietal ICH with minimal surrounding edema and mass effect.2. Multifocal variable sized susceptibility artifact lesions indicate possible cerebral amyloidosis or multiple various aged hemorrhagic foci.3. Focal ischemic stroke on the right thalamus.4. No abnormal enhancement. 