Clinical question to be answered: Rule out intracranial hemorrhage. Signs and symptoms: Altered mental status and headaches. Heavy large vessel intracranial vascular calcification of vertebral arteries and carotids are noted. Large area of vasogenic edema in the right temporal lobe with extension into right parietal is noted. There is associated mass effect and midline shift to approximately 7 mm. no evidence of hemorrhage is detected. Cortical sulci, ventricular system and all CSF cisterns remain within normal. Follow-up exam but a dedicated MRI examination is highly recommended. This finding is concerning for malignancy or possibly an infectious process.
Significant right-sided vasogenic edema with associated mass effect as detailed. Follow-up exam with an MRI is recommended.