Clinical question: Evaluate for intracranial hemorrhage. Signs and symptoms: Right arm weakness. Unenhanced CT of brain:There is no definite evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and all CSF cisterns are within normal range for patient's stated age of 77. Note should be made that very small acute cortical strokes can be missed on CT examination and for further follow-up and MRI is recommended.
No definitive evidence of intracranial abnormality.