Unspecified intracranial hemorrhage [432.9], Reason for Study: ^Reason: SAH History: see above Brain MRIThere are multifocal restricted diffusion lesions on subcortical white matter involving bilateral frontoparietal lobes, bilateral temporal lobes, bilateral insular and bilateral occipital lobes. In addition, bilateral basal ganglia and thalami also show restricted diffusion lesions.On the right cerebellar hemisphere, there is 9.1mm x 37mm x 8mm parenchymal hemorrhage. Constellation of these findings suggest global hypoxic injury.Multifocal high signal intensities on cortical sulci on FLAIR images indicate acute subarachnoid hemorrhage which is corresponding to prior CT scan. No significant interval change in terms of extent of SAH and cerebellar ICH since prior CT scan.The ventricles, are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. The paranasal sinuses and mastoid air cells are clear.Brain MRA:3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal.
1. Multifocal restricted diffusion lesions indicating global hypoxic injury.2. Acute bihemispheric SAH and right cerebellar ICH as described above, no significant interval change since prior CT scan. 3. Normal brain MRA.