Non-traumatic intracranial hemorrhage, follow up of enhancement around old hemorrhage. There is redemonstration of prior parenchymal hemorrhage with encephalomalacia in the left posterior parietal lobe and areas of associated susceptibility effect. There is an unchanged subcentimeter focus of associated enhancement within the area of encephalomalacia. There is an unchanged background of scattered foci of T2 hyperintensity in the periventricular and subcortical white matter. There is no evidence of new intracranial hemorrhage, mass, or acute infarct. The ventricles 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 is mild mucosal thickening in the bilateral maxillary and right ethmoid sinuses.
1. Redemonstration of left posterior parietal area of encephalomalacia related to previous hemorrhage with an unchanged nonspecific punctate focus of enhancement, which may represent an organizing hematoma or granulation tissue, for example.2. No evidence of new intracranial hemorrhage, mass, or acute infarct. 3. Unchanged probable chronic small vessel ischemic changes. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.